The holder whose full name is Jacobson, Carlos Robert,come from Royal Center IN,hold the Temporary LPN Permit license(NO.99022813A) which status is Superceded.
| Name | Jacobson, Carlos Robert |
|---|---|
| License Number | 99022813A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Royal Center |
| State | IN |