The holder whose full name is Funk, Joseph Stephen,come from Coeur D Alene ID,hold the Temporary RN Permit license(NO.99008867A) which status is Superceded.
| Name | Funk, Joseph Stephen |
|---|---|
| License Number | 99008867A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Coeur D Alene |
| State | ID |