The holder whose full name is Kacak, Loan Thi Phuong,come from Hammond IN,hold the Temporary Manicurist license(NO.TP20900314) which status is Superceded.
| Name | Kacak, Loan Thi Phuong |
|---|---|
| License Number | TP20900314 |
| License Type | Temporary Manicurist |
| License Status | Superceded |
| City | Hammond |
| State | IN |