The holder whose full name is Smiley, Alisa Colleen,come from Lafayette IN,hold the Student Temp RCP license(NO.99007341A) which status is Superceded.
| Name | Smiley, Alisa Colleen |
|---|---|
| License Number | 99007341A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Lafayette |
| State | IN |