The holder whose full name is Fountain, DeShazier,come from Plainfield IN,hold the Temporary RN Permit license(NO.99026354A) which status is Superceded.
| Name | Fountain, DeShazier |
|---|---|
| License Number | 99026354A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Plainfield |
| State | IN |