The holder whose full name is HERMAN, THADDEUS LEE,come from Warsaw IN,hold the Temporary RN Permit license(NO.99006928A) which status is Superceded.
Name | HERMAN, THADDEUS LEE |
---|---|
License Number | 99006928A |
License Type | Temporary RN Permit |
License Status | Superceded |
City | Warsaw |
State | IN |