The holder whose full name is Shackelford, Jaymes Nickolaus,come from Carmel IN,hold the Temporary LPN Permit license(NO.99047828A) which status is Superceded.
| Name | Shackelford, Jaymes Nickolaus |
|---|---|
| License Number | 99047828A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Carmel |
| State | IN |