The holder whose full name is Fuller, Amanda J.,come from Palestine IL,hold the Temporary LPN Permit license(NO.99019955A) which status is Superceded.
| Name | Fuller, Amanda J. |
|---|---|
| License Number | 99019955A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Palestine |
| State | IL |