The holder whose full name is Shepard, Jackie Lee,come from Carmi IL,hold the Temporary LPN Permit license(NO.99018961A) which status is Superceded.
| Name | Shepard, Jackie Lee |
|---|---|
| License Number | 99018961A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Carmi |
| State | IL |