License Information

The holder whose full name is Bush, Ernestine,come from MERRILLVILLE IN,hold the Temporary LPN Permit license(NO.99029329A) which status is Superceded.

NameBush, Ernestine
License Number99029329A
License TypeTemporary LPN Permit
License StatusSuperceded
CityMERRILLVILLE
StateIN

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