The holder whose full name is Jackson, Betty Jean,come from Lafayette IN,hold the Temporary RN Permit license(NO.99014635A) which status is Superceded.
| Name | Jackson, Betty Jean |
|---|---|
| License Number | 99014635A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Lafayette |
| State | IN |