The holder whose full name is Wysocki, Margaret Carmen,come from Crown Point IN,hold the Student Temp RCP license(NO.99038260A) which status is Superceded.
| Name | Wysocki, Margaret Carmen |
|---|---|
| License Number | 99038260A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Crown Point |
| State | IN |