The holder whose full name is Backus, Manielle Susan,come from Vincennes IN,hold the Registered Nurse license(NO.28151080A) which status is Probation.
| Name | Backus, Manielle Susan |
|---|---|
| License Number | 28151080A |
| License Type | Registered Nurse |
| License Status | Probation |
| City | Vincennes |
| State | IN |