The holder whose full name is Russell, Thomas Lee,come from PAYNE OH,hold the Temporary RN Permit license(NO.99037242A) which status is Superceded.
| Name | Russell, Thomas Lee |
|---|---|
| License Number | 99037242A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | PAYNE |
| State | OH |