The holder whose full name is DeWitt, Dolores Marie,come from Cedar Lake IN,hold the Temporary LPN Permit license(NO.99039055A) which status is Superceded.
Name | DeWitt, Dolores Marie |
---|---|
License Number | 99039055A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | Cedar Lake |
State | IN |