The holder whose full name is Eastman, Bruce L.,come from Boise ID,hold the Temporary RN Permit license(NO.99056603A) which status is Superceded.
Name | Eastman, Bruce L. |
---|---|
License Number | 99056603A |
License Type | Temporary RN Permit |
License Status | Superceded |
City | Boise |
State | ID |