The holder whose full name is GOOLSBY, CEOLA M,come from Fort Wayne IN,hold the Student Temp RCP license(NO.99006421A) which status is Expired.
| Name | GOOLSBY, CEOLA M |
|---|---|
| License Number | 99006421A |
| License Type | Student Temp RCP |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |