The holder whose full name is Small, Lorie Ann,come from Marion IN,hold the Temporary LPN Permit license(NO.99017615A) which status is Superceded.
| Name | Small, Lorie Ann |
|---|---|
| License Number | 99017615A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Marion |
| State | IN |