The holder whose full name is JAMES, W.R. SCOTT,come from MADISON IN,hold the Preceptor Eligible license(NO.15002501A) which status is Expired.
Name | JAMES, W.R. SCOTT |
---|---|
License Number | 15002501A |
License Type | Preceptor Eligible |
License Status | Expired |
City | MADISON |
State | IN |