The holder whose full name is Small, Lisa A.,come from Terre Haute IN,hold the Temporary LPN Permit license(NO.99050345A) which status is Superceded.
| Name | Small, Lisa A. |
|---|---|
| License Number | 99050345A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |