The holder whose full name is Zagore, Mischa L,come from South Holland IL,hold the Temporary LPN Permit license(NO.99062964A) which status is Superceded.
| Name | Zagore, Mischa L |
|---|---|
| License Number | 99062964A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | South Holland |
| State | IL |