The holder whose full name is Gomez, Agnes V.,come from Goodyear AZ,hold the Temporary LPN Permit license(NO.99033932A) which status is Superceded.
Name | Gomez, Agnes V. |
---|---|
License Number | 99033932A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | Goodyear |
State | AZ |