The holder whose full name is Wallace, Kerry Diane,come from Huntington IN,hold the Temporary RN Permit license(NO.99007768A) which status is Superceded.
| Name | Wallace, Kerry Diane |
|---|---|
| License Number | 99007768A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Huntington |
| State | IN |