The holder whose full name is Congelliere, Rebecca E.,come from Fort Wayne IN,hold the Temporary LPN Permit license(NO.99058938A) which status is Expired.
| Name | Congelliere, Rebecca E. |
|---|---|
| License Number | 99058938A |
| License Type | Temporary LPN Permit |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |