The holder whose full name is Nsamala, Isabel Louise,come from Fort Wayne IN,hold the Student Temp RCP license(NO.99061045A) which status is Expired.
| Name | Nsamala, Isabel Louise |
|---|---|
| License Number | 99061045A |
| License Type | Student Temp RCP |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |