The holder whose full name is Smith, Matthew P,come from New Albany IN,hold the Temporary LPN Permit license(NO.99063413A) which status is Superceded.
| Name | Smith, Matthew P |
|---|---|
| License Number | 99063413A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | New Albany |
| State | IN |