The holder whose full name is Farris, Justin Robert,come from Fredericksburg VA,hold the Student Temp RCP license(NO.99005979A) which status is Superceded.
| Name | Farris, Justin Robert |
|---|---|
| License Number | 99005979A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Fredericksburg |
| State | VA |