The holder whose full name is Sample, Wendy Danielle,come from Alexandria IN,hold the Student Temp RCP license(NO.99048001A) which status is Superceded.
| Name | Sample, Wendy Danielle |
|---|---|
| License Number | 99048001A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Alexandria |
| State | IN |