The holder whose full name is COOPER, KATHY LYN,come from Silver Lake IN,hold the Temporary RN Permit license(NO.99004736A) which status is Superceded.
| Name | COOPER, KATHY LYN |
|---|---|
| License Number | 99004736A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Silver Lake |
| State | IN |