The holder whose full name is Illenberg, Elisabeth R,come from Averill Park NY,hold the Temporary RN Permit license(NO.99054704A) which status is Superceded.
| Name | Illenberg, Elisabeth R |
|---|---|
| License Number | 99054704A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Averill Park |
| State | NY |