The holder whose full name is Lewis, Mary Ellen,come from Monticello IL,hold the Temporary RN Permit license(NO.99015039A) which status is Superceded.
| Name | Lewis, Mary Ellen |
|---|---|
| License Number | 99015039A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Monticello |
| State | IL |