The holder whose full name is Kelley, Amy Jo,come from Decatur IN,hold the Student Temp RCP license(NO.99009742A) which status is Superceded.
| Name | Kelley, Amy Jo |
|---|---|
| License Number | 99009742A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Decatur |
| State | IN |