The holder whose full name is Park, Clara J.,come from Terre Haute IN,hold the Temporary RN Permit license(NO.99064209A) which status is Superceded.
Name | Park, Clara J. |
---|---|
License Number | 99064209A |
License Type | Temporary RN Permit |
License Status | Superceded |
City | Terre Haute |
State | IN |