The holder whose full name is Gorman, Alexis Jo,come from Preble IN,hold the Student Temp RCP license(NO.99055312A) which status is Superceded.
| Name | Gorman, Alexis Jo |
|---|---|
| License Number | 99055312A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Preble |
| State | IN |