The holder whose full name is Phillips, Tammie Denise,come from Valparaiso IN,hold the Temporary LPN Permit license(NO.99052942A) which status is Superceded.
| Name | Phillips, Tammie Denise |
|---|---|
| License Number | 99052942A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Valparaiso |
| State | IN |