The holder whose full name is BENNETT, ISRAEL,come from Lafayette IN,hold the Temporary LPN Permit license(NO.99002259A) which status is Superceded.
| Name | BENNETT, ISRAEL |
|---|---|
| License Number | 99002259A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Lafayette |
| State | IN |