The holder whose full name is McIntyre, Lana Ruth,come from New Albany IN,hold the Student Temp RCP license(NO.99021559A) which status is Superceded.
| Name | McIntyre, Lana Ruth |
|---|---|
| License Number | 99021559A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | New Albany |
| State | IN |