The holder whose full name is Slack, Rene Lynn,come from Louisville KY,hold the Temporary LPN Permit license(NO.99014621A) which status is Superceded.
Name | Slack, Rene Lynn |
---|---|
License Number | 99014621A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | Louisville |
State | KY |