The holder whose full name is Carlson, Jennie Marie,come from Espanola NM,hold the Optometrist license(NO.18002558A) which status is Expired.
| Name | Carlson, Jennie Marie |
|---|---|
| License Number | 18002558A |
| License Type | Optometrist |
| License Status | Expired |
| City | Espanola |
| State | NM |