The holder whose full name is LIND, KENNETH DALE,come from Portland OR,hold the Temporary RN Permit license(NO.99004883A) which status is Superceded.
| Name | LIND, KENNETH DALE |
|---|---|
| License Number | 99004883A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Portland |
| State | OR |