The holder whose full name is Farnsley, Traci Jean,come from Georgetown IN,hold the Student Temp RCP license(NO.99026214A) which status is Superceded.
| Name | Farnsley, Traci Jean |
|---|---|
| License Number | 99026214A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Georgetown |
| State | IN |