The holder whose full name is Frederick, Connie Jean,come from Henderson KY,hold the Temporary LPN Permit license(NO.99008811A) which status is Superceded.
| Name | Frederick, Connie Jean |
|---|---|
| License Number | 99008811A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Henderson |
| State | KY |