The holder whose full name is Boothby, David Charles,come from Peru IN,hold the Temporary RN Permit license(NO.99038946A) which status is Superceded.
| Name | Boothby, David Charles |
|---|---|
| License Number | 99038946A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Peru |
| State | IN |