The holder whose full name is McConnell, Tara Lee,come from Henderson KY,hold the Student Temp RCP license(NO.99042942A) which status is Superceded.
| Name | McConnell, Tara Lee |
|---|---|
| License Number | 99042942A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Henderson |
| State | KY |