The holder whose full name is Ross, Michael Jay,come from New Haven IN,hold the Temporary LPN Permit license(NO.99052117A) which status is Superceded.
| Name | Ross, Michael Jay |
|---|---|
| License Number | 99052117A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | New Haven |
| State | IN |