The holder whose full name is Montovani, Desa Shea,come from Indianapolis IN,hold the Student Temp RCP license(NO.99004417A) which status is Superceded.
| Name | Montovani, Desa Shea |
|---|---|
| License Number | 99004417A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |