The holder whose full name is Martin, Kim Shelley,come from Mishawaka IN,hold the Temporary LPN Permit license(NO.99022171A) which status is Superceded.
| Name | Martin, Kim Shelley |
|---|---|
| License Number | 99022171A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Mishawaka |
| State | IN |