The holder whose full name is Ogundare, Amy Ellen,come from Terre Haute IN,hold the Student Temp RCP license(NO.99056024A) which status is Superceded.
| Name | Ogundare, Amy Ellen |
|---|---|
| License Number | 99056024A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |