The holder whose full name is SCOTT, AGNES JACOBS,come from FORT WAYNE IN,hold the Registered Nurse license(NO.28004886A) which status is Expired.
| Name | SCOTT, AGNES JACOBS |
|---|---|
| License Number | 28004886A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |