The holder whose full name is Proctor, Wayman Scott,come from Lexington IN,hold the Temporary LPN Permit license(NO.99051979A) which status is Superceded.
Name | Proctor, Wayman Scott |
---|---|
License Number | 99051979A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | Lexington |
State | IN |