The holder whose full name is Brookshire, Alexis Nicole,come from Whitestown IN,hold the Student Temp RCP license(NO.99058486A) which status is Superceded.
| Name | Brookshire, Alexis Nicole |
|---|---|
| License Number | 99058486A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Whitestown |
| State | IN |