The holder whose full name is Baumgart, Deborah Jeanette,come from SOUTH BEND IN,hold the Temporary LPN Permit license(NO.99015287A) which status is Superceded.
Name | Baumgart, Deborah Jeanette |
---|---|
License Number | 99015287A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | SOUTH BEND |
State | IN |