The holder whose full name is Olivares, Lenny,come from Homer Glen IL,hold the Temporary RN Permit license(NO.99026469A) which status is Superceded.
| Name | Olivares, Lenny |
|---|---|
| License Number | 99026469A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Homer Glen |
| State | IL |