The holder whose full name is Otto, Wendy Beatrice,come from Anderson IN,hold the Student Temp RCP license(NO.99013681A) which status is Superceded.
| Name | Otto, Wendy Beatrice |
|---|---|
| License Number | 99013681A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Anderson |
| State | IN |