The holder whose full name is Black, Thomas Michael,come from Paducah KY,hold the Registered Nurse license(NO.28166268A) which status is Expired.
| Name | Black, Thomas Michael |
|---|---|
| License Number | 28166268A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Paducah |
| State | KY |