Medical debt is one type of debt where you are probably going to be sued even if the amount is small. Especially with someone who does not meet eligibility for charitable assistance. If this is her, she stiffed them on the payment and now they are suing her. If only they knew about her instagram and youtube so they could show how she flaunts her financial status.
Vehicles can be registered without a license. When my peepaw died, my gramgram had a car in her name for both title and registration while not holding a license.
Registration would require ID so they know who is registering vehicle, insurance/bond, and title to the vehicle. She could even list herself as a driver for insurance purposes.