The holder whose full name is Baker, Laura Ann,come from Brookston IN,hold the Student Temp RCP license(NO.99007515A) which status is Superceded.
| Name | Baker, Laura Ann |
|---|---|
| License Number | 99007515A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Brookston |
| State | IN |