The holder whose full name is Dickey, Amy Lynn,come from Valparaiso IN,hold the Student Temp RCP license(NO.99057197A) which status is Superceded.
| Name | Dickey, Amy Lynn |
|---|---|
| License Number | 99057197A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Valparaiso |
| State | IN |