The holder whose full name is Brunette, Mark Allen,come from Greenwood IN,hold the Temporary LPN Permit license(NO.99035901A) which status is Superceded.
| Name | Brunette, Mark Allen |
|---|---|
| License Number | 99035901A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Greenwood |
| State | IN |