The holder whose full name is Gay, Amanda Faye,come from Lexington IN,hold the Student Temp RCP license(NO.99039921A) which status is Superceded.
| Name | Gay, Amanda Faye |
|---|---|
| License Number | 99039921A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Lexington |
| State | IN |