The holder whose full name is Weaver, Marvin Charles,come from Poland IN,hold the Temporary LPN Permit license(NO.99008813A) which status is Superceded.
| Name | Weaver, Marvin Charles |
|---|---|
| License Number | 99008813A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Poland |
| State | IN |