The holder whose full name is Russ, Jamie Theresa,come from Fort Wayne IN,hold the Student Temp RCP license(NO.99032831A) which status is Superceded.
Name | Russ, Jamie Theresa |
---|---|
License Number | 99032831A |
License Type | Student Temp RCP |
License Status | Superceded |
City | Fort Wayne |
State | IN |