The holder whose full name is Samuels, Robert Edwin,come from Jeffersonville IN,hold the Temporary LPN Permit license(NO.99009199A) which status is Superceded.
| Name | Samuels, Robert Edwin |
|---|---|
| License Number | 99009199A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Jeffersonville |
| State | IN |