The holder whose full name is Ben, Amanda J,come from Fort Wayne IN,hold the Temporary LPN Permit license(NO.99043663A) which status is Superceded.
| Name | Ben, Amanda J |
|---|---|
| License Number | 99043663A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |