The holder whose full name is Gentry, Laura Beth,come from Spencer IN,hold the Student Temp RCP license(NO.99039783A) which status is Superceded.
| Name | Gentry, Laura Beth |
|---|---|
| License Number | 99039783A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Spencer |
| State | IN |