The holder whose full name is Runk, Lorri Marie,come from WOLCOTT IN,hold the Student Temp RCP license(NO.99013985A) which status is Superceded.
| Name | Runk, Lorri Marie |
|---|---|
| License Number | 99013985A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | WOLCOTT |
| State | IN |