The holder whose full name is Champagne, Breanna J.,come from South Bend IN,hold the Registered Nurse license(NO.28209117A) which status is Active.
| Name | Champagne, Breanna J. |
|---|---|
| License Number | 28209117A |
| License Type | Registered Nurse |
| License Status | Active |
| City | South Bend |
| State | IN |