The holder whose full name is Crain, Andrea Denise,come from Indianapolis IN,hold the Student Temp RCP license(NO.99010082A) which status is Superceded.
| Name | Crain, Andrea Denise |
|---|---|
| License Number | 99010082A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |