The holder whose full name is Lewis, Ebony D.,come from Dolton IL,hold the Temporary LPN Permit license(NO.99006006A) which status is Superceded.
| Name | Lewis, Ebony D. |
|---|---|
| License Number | 99006006A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Dolton |
| State | IL |