The holder whose full name is JOHNSON, KENNETH R,come from West Lebanon IN,hold the Temporary RN Permit license(NO.99004878A) which status is Superceded.
| Name | JOHNSON, KENNETH R |
|---|---|
| License Number | 99004878A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | West Lebanon |
| State | IN |