The holder whose full name is Vermilyer, Diana Sue,come from North Judson IN,hold the Student Temp RCP license(NO.99009873A) which status is Superceded.
| Name | Vermilyer, Diana Sue |
|---|---|
| License Number | 99009873A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | North Judson |
| State | IN |