The holder whose full name is Speck, Kris Ann,come from Fort Wayne IN,hold the Student Temp RCP license(NO.99009103A) which status is Superceded.
| Name | Speck, Kris Ann |
|---|---|
| License Number | 99009103A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |