The holder whose full name is Raphael, Annmarie Dorothy,come from Indianapolis IN,hold the Temporary LPN Permit license(NO.99012704A) which status is Superceded.
| Name | Raphael, Annmarie Dorothy |
|---|---|
| License Number | 99012704A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |