The holder whose full name is Gillim, Krista Lanee,come from Evansville IN,hold the Student Temp RCP license(NO.99017462A) which status is Superceded.
| Name | Gillim, Krista Lanee |
|---|---|
| License Number | 99017462A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Evansville |
| State | IN |