The holder whose full name is Miller, Amanda Mary,come from Crown Point IN,hold the Temporary LPN Permit license(NO.99017761A) which status is Superceded.
| Name | Miller, Amanda Mary |
|---|---|
| License Number | 99017761A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Crown Point |
| State | IN |