The holder whose full name is Sitorus, Anita,come from Bloomington IN,hold the Temporary RN Permit license(NO.99059546A) which status is Superceded.
| Name | Sitorus, Anita |
|---|---|
| License Number | 99059546A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Bloomington |
| State | IN |