The holder whose full name is Shaw, Amanda Jean,come from Lafayette IN,hold the Temporary LPN Permit license(NO.99048674A) which status is Superceded.
| Name | Shaw, Amanda Jean |
|---|---|
| License Number | 99048674A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Lafayette |
| State | IN |