The holder whose full name is Johnson, Clyde,come from Mishawaka IN,hold the Temporary LPN Permit license(NO.99027799A) which status is Superceded.
Name | Johnson, Clyde |
---|---|
License Number | 99027799A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | Mishawaka |
State | IN |