The holder whose full name is Gass, Alex Justin,come from Muncie IN,hold the Student Temp RCP license(NO.99014165A) which status is Superceded.
| Name | Gass, Alex Justin |
|---|---|
| License Number | 99014165A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Muncie |
| State | IN |