The holder whose full name is Crutchfield, Jacalyn Julia,come from Lafayette IN,hold the Student Temp RCP license(NO.99046207A) which status is Expired.
| Name | Crutchfield, Jacalyn Julia |
|---|---|
| License Number | 99046207A |
| License Type | Student Temp RCP |
| License Status | Expired |
| City | Lafayette |
| State | IN |