The holder whose full name is Russell, Amber Nicole,come from Greenwood IN,hold the Student Temp RCP license(NO.99017828A) which status is Superceded.
| Name | Russell, Amber Nicole |
|---|---|
| License Number | 99017828A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Greenwood |
| State | IN |