The holder whose full name is Moore, Carla S.,come from Fort Wayne IN,hold the Temporary RN Permit license(NO.99047397A) which status is Superceded.
| Name | Moore, Carla S. |
|---|---|
| License Number | 99047397A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |