The holder whose full name is MODAWELL, BOBBY MACK,come from Elizabethtown KY,hold the Temporary LPN Permit license(NO.99002211A) which status is Superceded.
| Name | MODAWELL, BOBBY MACK |
|---|---|
| License Number | 99002211A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Elizabethtown |
| State | KY |