The holder whose full name is POSHUSTA, BETTY C,come from SHERIDAN IN,hold the Preceptor Eligible license(NO.15002244A) which status is Expired.
Name | POSHUSTA, BETTY C |
---|---|
License Number | 15002244A |
License Type | Preceptor Eligible |
License Status | Expired |
City | SHERIDAN |
State | IN |