The holder whose full name is Justus, Tosha Jo Ann,come from Franklin IN,hold the Student Temp RCP license(NO.99004030A) which status is Superceded.
| Name | Justus, Tosha Jo Ann |
|---|---|
| License Number | 99004030A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Franklin |
| State | IN |