The holder whose full name is Costelac, David Wayne,come from Lebanon TN,hold the Temporary RN Permit license(NO.99024011A) which status is Superceded.
| Name | Costelac, David Wayne |
|---|---|
| License Number | 99024011A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Lebanon |
| State | TN |