The holder whose full name is McClellon, Courtney B.,come from Lafayette IN,hold the Temporary LPN Permit license(NO.99049120A) which status is Superceded.
Name | McClellon, Courtney B. |
---|---|
License Number | 99049120A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | Lafayette |
State | IN |