The holder whose full name is Lopez, Brandi Joann,come from Elkhart IN,hold the Student Temp RCP license(NO.99034881A) which status is Superceded.
Name | Lopez, Brandi Joann |
---|---|
License Number | 99034881A |
License Type | Student Temp RCP |
License Status | Superceded |
City | Elkhart |
State | IN |