The holder whose full name is Mendez, Elvira Torres,come from Lake Station IN,hold the Student Temp RCP license(NO.99060836A) which status is Superceded.
| Name | Mendez, Elvira Torres |
|---|---|
| License Number | 99060836A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Lake Station |
| State | IN |