The holder whose full name is Pirtle, Deidra Renee,come from Fort Wayne IN,hold the Student Temp RCP license(NO.99017018A) which status is Superceded.
Name | Pirtle, Deidra Renee |
---|---|
License Number | 99017018A |
License Type | Student Temp RCP |
License Status | Superceded |
City | Fort Wayne |
State | IN |