The holder whose full name is Lillvis, David Matthew,come from Sturgis MI,hold the Temporary RN Permit license(NO.99021367A) which status is Superceded.
| Name | Lillvis, David Matthew |
|---|---|
| License Number | 99021367A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Sturgis |
| State | MI |