The holder whose full name is EAVENSON, MARY EDITH,come from Clarksville IN,hold the Temporary LPN Permit license(NO.99003704A) which status is Superceded.
| Name | EAVENSON, MARY EDITH |
|---|---|
| License Number | 99003704A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Clarksville |
| State | IN |