The holder whose full name is Baker, Ruby Jean,come from Columbia KY,hold the Student Temp RCP license(NO.99023851A) which status is Superceded.
| Name | Baker, Ruby Jean |
|---|---|
| License Number | 99023851A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Columbia |
| State | KY |