The holder whose full name is Livengood, Melissa Jo,come from Brownsburg IN,hold the Student Temp RCP license(NO.99004340A) which status is Superceded.
| Name | Livengood, Melissa Jo |
|---|---|
| License Number | 99004340A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Brownsburg |
| State | IN |