The holder whose full name is Worthington, Susan Jane,come from Munster IN,hold the Temporary LPN Permit license(NO.99000354A) which status is Superceded.
Name | Worthington, Susan Jane |
---|---|
License Number | 99000354A |
License Type | Temporary LPN Permit |
License Status | Superceded |
City | Munster |
State | IN |