The holder whose full name is BLAKE, ALICE LUCILLE,come from BEECH GROVE IN,hold the Registered Nurse license(NO.28031322A) which status is Expired.
| Name | BLAKE, ALICE LUCILLE |
|---|---|
| License Number | 28031322A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | BEECH GROVE |
| State | IN |