The holder whose full name is Charles, Roy Dale,come from Taylorsville KY,hold the Temporary RN Permit license(NO.99001487A) which status is Superceded.
| Name | Charles, Roy Dale |
|---|---|
| License Number | 99001487A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Taylorsville |
| State | KY |