The holder whose full name is Fortner, Jesse Fontania,come from Indianapolis IN,hold the Temporary LPN Permit license(NO.99005016A) which status is Superceded.
| Name | Fortner, Jesse Fontania |
|---|---|
| License Number | 99005016A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |