The holder whose full name is Herritz, Lisa A.,come from Prairie Du Sac WI,hold the Student Temp RCP license(NO.99028067A) which status is Superceded.
| Name | Herritz, Lisa A. |
|---|---|
| License Number | 99028067A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Prairie Du Sac |
| State | WI |