The holder whose full name is Kelley, Theresa Ann,come from Dyer IN,hold the Temporary LPN Permit license(NO.99036873A) which status is Superceded.
| Name | Kelley, Theresa Ann |
|---|---|
| License Number | 99036873A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Dyer |
| State | IN |