The holder whose full name is Gentry, Martha M,come from Calumet City IL,hold the Temporary LPN Permit license(NO.99030253A) which status is Superceded.
Name | Gentry, Martha M |
---|---|
License Number | 99030253A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | Calumet City |
State | IL |