The holder whose full name is Smith, Dominique Teresa,come from Flossmoor IL,hold the Temporary LPN Permit license(NO.99009453A) which status is Superceded.
Name | Smith, Dominique Teresa |
---|---|
License Number | 99009453A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | Flossmoor |
State | IL |