The holder whose full name is Booher, Amanda Harris,come from Indianapolis IN,hold the Student Temp RCP license(NO.99011528A) which status is Superceded.
| Name | Booher, Amanda Harris |
|---|---|
| License Number | 99011528A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |