The holder whose full name is Keltz, Heather Lee,come from Terre Haute IN,hold the Student Temp RCP license(NO.99047712A) which status is Superceded.
| Name | Keltz, Heather Lee |
|---|---|
| License Number | 99047712A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |