The holder whose full name is White, Antoinette Domonique,come from Portage IN,hold the Registered Nurse license(NO.28198628A) which status is Active.
| Name | White, Antoinette Domonique |
|---|---|
| License Number | 28198628A |
| License Type | Registered Nurse |
| License Status | Active |
| City | Portage |
| State | IN |