The holder whose full name is Bogart, Anita Helen,come from Monticello IN,hold the Temporary LPN Permit license(NO.99002319A) which status is Superceded.
Name | Bogart, Anita Helen |
---|---|
License Number | 99002319A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | Monticello |
State | IN |