The holder whose full name is MACKINNAN, PHYLLIS T,come from LEWISTON ID,hold the Registered Nurse license(NO.28018948A) which status is Expired.
| Name | MACKINNAN, PHYLLIS T |
|---|---|
| License Number | 28018948A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | LEWISTON |
| State | ID |