The holder whose full name is KLISIAK, MARY,come from LAKE VILLAGE IN,hold the Registered Nurse license(NO.28086923A) which status is Expired.
| Name | KLISIAK, MARY |
|---|---|
| License Number | 28086923A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | LAKE VILLAGE |
| State | IN |