The holder whose full name is Lake, William B,come from Union KY,hold the Temporary RN Permit license(NO.99047127A) which status is Superceded.
| Name | Lake, William B |
|---|---|
| License Number | 99047127A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Union |
| State | KY |