The holder whose full name is Hicks, Brandi Katheryn,come from Kendallville IN,hold the Student Temp RCP license(NO.99005503A) which status is Superceded.
| Name | Hicks, Brandi Katheryn |
|---|---|
| License Number | 99005503A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Kendallville |
| State | IN |