The holder whose full name is Ickes, Tina R.,come from Sumner IL,hold the Temporary RN Permit license(NO.99054221A) which status is Superceded.
Name | Ickes, Tina R. |
---|---|
License Number | 99054221A |
License Type | Temporary RN Permit |
License Status | Superceded |
City | Sumner |
State | IL |