The holder whose full name is Fairfield, Tasha R.,come from Tipton IN,hold the Temporary LPN Permit license(NO.99059603A) which status is Superceded.
| Name | Fairfield, Tasha R. |
|---|---|
| License Number | 99059603A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Tipton |
| State | IN |