The holder whose full name is Peterson, Amy Ann,come from Ellettsville IN,hold the Student Temp RCP license(NO.99042766A) which status is Superceded.
| Name | Peterson, Amy Ann |
|---|---|
| License Number | 99042766A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Ellettsville |
| State | IN |