The holder whose full name is Ellis, Marticia Anne,come from Otwell IN,hold the Registered Nurse license(NO.28057897A) which status is Suspended.
| Name | Ellis, Marticia Anne |
|---|---|
| License Number | 28057897A |
| License Type | Registered Nurse |
| License Status | Suspended |
| City | Otwell |
| State | IN |