The holder whose full name is Wells, Dennise Ann,come from Columbia City IN,hold the Student Temp RCP license(NO.99009280A) which status is Superceded.
| Name | Wells, Dennise Ann |
|---|---|
| License Number | 99009280A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Columbia City |
| State | IN |