The holder whose full name is Rismiwati, Budi,come from Indianapolis IN,hold the Temporary LPN Permit license(NO.99060734A) which status is Superceded.
| Name | Rismiwati, Budi |
|---|---|
| License Number | 99060734A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |