The holder whose full name is Vail, Jonathan David,come from Lafayette IN,hold the Student Temp RCP license(NO.99017742A) which status is Superceded.
| Name | Vail, Jonathan David |
|---|---|
| License Number | 99017742A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Lafayette |
| State | IN |