The holder whose full name is Walz, Katy J.,come from Muncie IN,hold the Student Temp RCP license(NO.99022099A) which status is Superceded.
| Name | Walz, Katy J. |
|---|---|
| License Number | 99022099A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Muncie |
| State | IN |