The holder whose full name is Bailey, James Henry,come from Fort Wayne IN,hold the Student Temp RCP license(NO.99009164A) which status is Superceded.
| Name | Bailey, James Henry |
|---|---|
| License Number | 99009164A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |