The holder whose full name is Sims, Vilma Montano,come from Gary IN,hold the Preceptor Eligible license(NO.15004524A) which status is Expired.
Name | Sims, Vilma Montano |
---|---|
License Number | 15004524A |
License Type | Preceptor Eligible |
License Status | Expired |
City | Gary |
State | IN |