The holder whose full name is Gallaza, Jessa E.,come from La Porte IN,hold the Temporary LPN Permit license(NO.99061524A) which status is Superceded.
| Name | Gallaza, Jessa E. |
|---|---|
| License Number | 99061524A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | La Porte |
| State | IN |