The holder whose full name is Lawrence, Jessica Marie,come from Mount Vernon IN,hold the Student Temp RCP license(NO.99003691A) which status is Superceded.
| Name | Lawrence, Jessica Marie |
|---|---|
| License Number | 99003691A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Mount Vernon |
| State | IN |