The holder whose full name is Bolt, Julia Ann,come from Lanesville IN,hold the Temporary LPN Permit license(NO.99004760A) which status is Superceded.
| Name | Bolt, Julia Ann |
|---|---|
| License Number | 99004760A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Lanesville |
| State | IN |