The holder whose full name is Bos, Lisa D.,come from Marion IN,hold the Temporary LPN Permit license(NO.99058082A) which status is Superceded.
| Name | Bos, Lisa D. |
|---|---|
| License Number | 99058082A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Marion |
| State | IN |