The holder whose full name is Ingram, Beth Miller,come from Valparaiso IN,hold the Preceptor Eligible license(NO.15002851A) which status is Expired.
| Name | Ingram, Beth Miller |
|---|---|
| License Number | 15002851A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Valparaiso |
| State | IN |