The holder whose full name is Tate, Jacqueline L.,come from Glenwood IL,hold the Temporary RN Permit license(NO.99038140A) which status is Superceded.
| Name | Tate, Jacqueline L. |
|---|---|
| License Number | 99038140A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Glenwood |
| State | IL |