The holder whose full name is Carpenter, Oteesa R.,come from Gary IN,hold the Student Temp RCP license(NO.99011403A) which status is Superceded.
| Name | Carpenter, Oteesa R. |
|---|---|
| License Number | 99011403A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Gary |
| State | IN |