The holder whose full name is Lavender, Diane,come from Hammond IN,hold the Temporary LPN Permit license(NO.99021806A) which status is Abandoned Application.
| Name | Lavender, Diane |
|---|---|
| License Number | 99021806A |
| License Type | Temporary LPN Permit |
| License Status | Abandoned Application |
| City | Hammond |
| State | IN |