The holder whose full name is Jackson, Carol M.,come from Terre Haute IN,hold the Temporary LPN Permit license(NO.99053306A) which status is Superceded.
| Name | Jackson, Carol M. |
|---|---|
| License Number | 99053306A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |