The holder whose full name is Weaver, Andrea Yvette,come from Merrillville IN,hold the Student Temp RCP license(NO.99006205A) which status is Superceded.
| Name | Weaver, Andrea Yvette |
|---|---|
| License Number | 99006205A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Merrillville |
| State | IN |