The holder whose full name is Wallace, Carolyn Ruth,come from Evansville IN,hold the Temporary LPN Permit license(NO.99004284A) which status is Superceded.
| Name | Wallace, Carolyn Ruth |
|---|---|
| License Number | 99004284A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Evansville |
| State | IN |