The holder whose full name is BLACK, ANNETTE JUNE,come from MUNCIE IN,hold the Registered Nurse license(NO.28089568A) which status is Expired.
| Name | BLACK, ANNETTE JUNE |
|---|---|
| License Number | 28089568A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | MUNCIE |
| State | IN |