The holder whose full name is BLACK, ALICE LOUISE,come from INDPLS IN,hold the Registered Nurse license(NO.28028782A) which status is Expired.
| Name | BLACK, ALICE LOUISE |
|---|---|
| License Number | 28028782A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | INDPLS |
| State | IN |