The holder whose full name is DIAZ, CARMELO,come from VINCENNES IN,hold the Temporary RN Permit license(NO.99001413A) which status is Superceded.
| Name | DIAZ, CARMELO |
|---|---|
| License Number | 99001413A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | VINCENNES |
| State | IN |