The holder whose full name is Gray, Jerry E.,come from Bloomington IN,hold the Temporary LPN Permit license(NO.99029866A) which status is Superceded.
| Name | Gray, Jerry E. |
|---|---|
| License Number | 99029866A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Bloomington |
| State | IN |