The holder whose full name is Ettensohn, Tara R.,come from Fort Wayne IN,hold the Registered Nurse license(NO.28214889A) which status is Active.
| Name | Ettensohn, Tara R. |
|---|---|
| License Number | 28214889A |
| License Type | Registered Nurse |
| License Status | Active |
| City | Fort Wayne |
| State | IN |