The holder whose full name is Ellis, June,come from South Lake Tahoe CA,hold the Temporary LPN Permit license(NO.99034973A) which status is Superceded.
| Name | Ellis, June |
|---|---|
| License Number | 99034973A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | South Lake Tahoe |
| State | CA |