The holder whose full name is BLAKER, AMOS,come from LAFAYETTE IN,hold the Registered Nurse license(NO.28001993A) which status is Expired.
| Name | BLAKER, AMOS |
|---|---|
| License Number | 28001993A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |