The holder whose full name is Pirtle, Deidra Renee,come from Fort Wayne IN,hold the Student Temp RCP license(NO.99020220A) which status is Superceded.
| Name | Pirtle, Deidra Renee |
|---|---|
| License Number | 99020220A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |