The holder whose full name is BLEVINS, KEN MAURICE,come from Walnut Creek CA,hold the Temporary LPN Permit license(NO.99006423A) which status is Superceded.
| Name | BLEVINS, KEN MAURICE |
|---|---|
| License Number | 99006423A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Walnut Creek |
| State | CA |