The holder whose full name is DeFazio, Cosmo John,come from Wall Township NJ,hold the Temporary RN Permit license(NO.99014990A) which status is Expired.
| Name | DeFazio, Cosmo John |
|---|---|
| License Number | 99014990A |
| License Type | Temporary RN Permit |
| License Status | Expired |
| City | Wall Township |
| State | NJ |