The holder whose full name is Shaw, Penny Ann,come from Reddick IL,hold the Temporary LPN Permit license(NO.99036189A) which status is Expired.
| Name | Shaw, Penny Ann |
|---|---|
| License Number | 99036189A |
| License Type | Temporary LPN Permit |
| License Status | Expired |
| City | Reddick |
| State | IL |