The holder whose full name is Bates, Greg W,come from Fort Wayne IN,hold the Student Temp RCP license(NO.99014333A) which status is Superceded.
| Name | Bates, Greg W |
|---|---|
| License Number | 99014333A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |