The holder whose full name is Shaffer, Jessica Lyn,come from Cutler IN,hold the Student Temp RCP license(NO.99019642A) which status is Superceded.
| Name | Shaffer, Jessica Lyn |
|---|---|
| License Number | 99019642A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Cutler |
| State | IN |