The holder whose full name is Pirtle, Jacki Lynn,come from Sullivan IN,hold the Student Temp RCP license(NO.99040214A) which status is Expired.
| Name | Pirtle, Jacki Lynn |
|---|---|
| License Number | 99040214A |
| License Type | Student Temp RCP |
| License Status | Expired |
| City | Sullivan |
| State | IN |