The holder whose full name is Smith, Mary Elaine,come from Bedford IN,hold the Temporary LPN Permit license(NO.99014241A) which status is Superceded.
| Name | Smith, Mary Elaine |
|---|---|
| License Number | 99014241A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Bedford |
| State | IN |