The holder whose full name is Lacy, Michael A.,come from Merrillville IN,hold the Temporary LPN Permit license(NO.99031811A) which status is Superceded.
| Name | Lacy, Michael A. |
|---|---|
| License Number | 99031811A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Merrillville |
| State | IN |