The holder whose full name is Marquis, Jennifer Regan,come from Fort Wayne IN,hold the Student Temp RCP license(NO.99006308A) which status is Superceded.
| Name | Marquis, Jennifer Regan |
|---|---|
| License Number | 99006308A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |