The holder whose full name is Puckett, Russell,come from Eaton OH,hold the Temporary LPN Permit license(NO.99047946A) which status is Superceded.
| Name | Puckett, Russell |
|---|---|
| License Number | 99047946A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Eaton |
| State | OH |