The holder whose full name is Mendoza, Angela Sue,come from Hartford City IN,hold the Student Temp RCP license(NO.99003667A) which status is Superceded.
| Name | Mendoza, Angela Sue |
|---|---|
| License Number | 99003667A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Hartford City |
| State | IN |