The holder whose full name is Nsamala, Isabel Louise,come from Fort Wayne IN,hold the Temporary RCP Permit license(NO.99063303A) which status is Superceded.
Name | Nsamala, Isabel Louise |
---|---|
License Number | 99063303A |
License Type | Temporary RCP Permit |
License Status | Superceded |
City | Fort Wayne |
State | IN |