The holder whose full name is Smith, Amanda Marie,come from Evansville IN,hold the Student Temp RCP license(NO.99014128A) which status is Superceded.
| Name | Smith, Amanda Marie |
|---|---|
| License Number | 99014128A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Evansville |
| State | IN |