The holder whose full name is Johnson, Kimberly Dawn,come from New Paris OH,hold the Student Temp RCP license(NO.99057092A) which status is Superceded.
| Name | Johnson, Kimberly Dawn |
|---|---|
| License Number | 99057092A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | New Paris |
| State | OH |