The holder whose full name is Bush, Ernestine,come from MERRILLVILLE IN,hold the Temporary LPN Permit license(NO.99029329A) which status is Superceded.
Name | Bush, Ernestine |
---|---|
License Number | 99029329A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | MERRILLVILLE |
State | IN |