The holder whose full name is LACY, PHYLLIS ANNE,come from VINCENNES IN,hold the Registered Nurse license(NO.28055718A) which status is Active.
| Name | LACY, PHYLLIS ANNE |
|---|---|
| License Number | 28055718A |
| License Type | Registered Nurse |
| License Status | Active |
| City | VINCENNES |
| State | IN |