The holder whose full name is Green, Ida Mae,come from Tinley Park IL,hold the Temporary RN Permit license(NO.99013780A) which status is Superceded.
| Name | Green, Ida Mae |
|---|---|
| License Number | 99013780A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Tinley Park |
| State | IL |