The holder whose full name is Childress, Phyllis A,come from Seymour IN,hold the Temporary LPN Permit license(NO.99008660A) which status is Superceded.
| Name | Childress, Phyllis A |
|---|---|
| License Number | 99008660A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Seymour |
| State | IN |