The holder whose full name is Dale, Gena R.,come from Shawneetown IL,hold the Temporary LPN Permit license(NO.99018616A) which status is Superceded.
| Name | Dale, Gena R. |
|---|---|
| License Number | 99018616A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Shawneetown |
| State | IL |