The holder whose full name is Gates, Amy Colleen,come from Enfield IL,hold the Student Temp RCP license(NO.99021479A) which status is Superceded.
| Name | Gates, Amy Colleen |
|---|---|
| License Number | 99021479A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Enfield |
| State | IL |