The holder whose full name is Smith, Amos J,come from Shoals IN,hold the Temporary LPN Permit license(NO.99008895A) which status is Superceded.
| Name | Smith, Amos J |
|---|---|
| License Number | 99008895A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Shoals |
| State | IN |