The holder whose full name is SHELLY, JANET SUE,come from Fort Wayne IN,hold the Temporary LPN Permit license(NO.99002812A) which status is Superceded.
Name | SHELLY, JANET SUE |
---|---|
License Number | 99002812A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | Fort Wayne |
State | IN |