The holder whose full name is Halberstadt, Angela Marie Whitlow,come from Indianapolis IN,hold the Student Temp RCP license(NO.99046930A) which status is Superceded.
| Name | Halberstadt, Angela Marie Whitlow |
|---|---|
| License Number | 99046930A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |