The holder whose full name is Baucum, Annette Ophelia,come from Evansville IN,hold the Temporary RN Permit license(NO.99032802A) which status is Superceded.
| Name | Baucum, Annette Ophelia |
|---|---|
| License Number | 99032802A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Evansville |
| State | IN |