The holder whose full name is Tagalog, Mimzy Vanessa,come from Granger IN,hold the Temporary LPN Permit license(NO.99048145A) which status is Superceded.
| Name | Tagalog, Mimzy Vanessa |
|---|---|
| License Number | 99048145A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Granger |
| State | IN |