The holder whose full name is Sowa, Jenny Rae,come from Valparaiso IN,hold the Student Temp RCP license(NO.99020082A) which status is Superceded.
| Name | Sowa, Jenny Rae |
|---|---|
| License Number | 99020082A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Valparaiso |
| State | IN |