The holder whose full name is Pridemore, Gregory Scott,come from Indianapolis IN,hold the Student Temp RCP license(NO.99047857A) which status is Superceded.
| Name | Pridemore, Gregory Scott |
|---|---|
| License Number | 99047857A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |