The holder whose full name is Zumazuma, Jacquiline,come from South Bend IN,hold the Temporary LPN Permit license(NO.99035109A) which status is Superceded.
Name | Zumazuma, Jacquiline |
---|---|
License Number | 99035109A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | South Bend |
State | IN |