The holder whose full name is Brown, Lydia,come from Portage IN,hold the Student Temp RCP license(NO.99036110A) which status is Superceded.
| Name | Brown, Lydia |
|---|---|
| License Number | 99036110A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Portage |
| State | IN |