The holder whose full name is Blake, Doris A.,come from Calumet City IL,hold the Temporary LPN Permit license(NO.99058443A) which status is Expired.
| Name | Blake, Doris A. |
|---|---|
| License Number | 99058443A |
| License Type | Temporary LPN Permit |
| License Status | Expired |
| City | Calumet City |
| State | IL |