The holder whose full name is Davis, Heath R.,come from Vevay IN,hold the Temporary LPN Permit license(NO.99063685A) which status is Superceded.
| Name | Davis, Heath R. |
|---|---|
| License Number | 99063685A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Vevay |
| State | IN |