The holder whose full name is SOUTHERN, NANCY ELLEN,come from WEST LAFAYETTE IN,hold the Registered Nurse license(NO.28102968A) which status is Expired.
| Name | SOUTHERN, NANCY ELLEN |
|---|---|
| License Number | 28102968A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | WEST LAFAYETTE |
| State | IN |