The holder whose full name is Baker, Audra Leigh,come from Muncie IN,hold the Student Temp RCP license(NO.99046236A) which status is Superceded.
| Name | Baker, Audra Leigh |
|---|---|
| License Number | 99046236A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Muncie |
| State | IN |