The holder whose full name is Oswald, Michael Garth,come from Hayden Lake ID,hold the Temporary RN Permit license(NO.99017204A) which status is Superceded.
Name | Oswald, Michael Garth |
---|---|
License Number | 99017204A |
License Type | Temporary RN Permit |
License Status | Superceded |
City | Hayden Lake |
State | ID |