The holder whose full name is Shipp, Jeffrey Darrel,come from Manitou KY,hold the Temporary LPN Permit license(NO.99058717A) which status is Superceded.
| Name | Shipp, Jeffrey Darrel |
|---|---|
| License Number | 99058717A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Manitou |
| State | KY |