The holder whose full name is TAN, HERNG LEE,come from Indianapolis IN,hold the Student Temp RCP license(NO.99004836A) which status is Expired.
| Name | TAN, HERNG LEE |
|---|---|
| License Number | 99004836A |
| License Type | Student Temp RCP |
| License Status | Expired |
| City | Indianapolis |
| State | IN |