The holder whose full name is Davis, Lisa Renee,come from Louisville KY,hold the Student Temp RCP license(NO.99052556A) which status is Superceded.
| Name | Davis, Lisa Renee |
|---|---|
| License Number | 99052556A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Louisville |
| State | KY |