The holder whose full name is Brooks, Mishay T.,come from Park Forest IL,hold the Temporary LPN Permit license(NO.99053535A) which status is Superceded.
| Name | Brooks, Mishay T. |
|---|---|
| License Number | 99053535A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Park Forest |
| State | IL |