The holder whose full name is Bernheim, Mary Josephine,come from Mountain Home AFB ID,hold the Temporary RN Permit license(NO.99022775A) which status is Superceded.
Name | Bernheim, Mary Josephine |
---|---|
License Number | 99022775A |
License Type | Temporary RN Permit |
License Status | Superceded |
City | Mountain Home AFB |
State | ID |