The holder whose full name is Wiseman, Michael Travis,come from Jeffersontown KY,hold the Temporary RN Permit license(NO.99019153A) which status is Superceded.
| Name | Wiseman, Michael Travis |
|---|---|
| License Number | 99019153A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Jeffersontown |
| State | KY |