The holder whose full name is ROSE, BETTY L,come from KOKOMO IN,hold the Preceptor Eligible license(NO.15003852A) which status is Expired.
| Name | ROSE, BETTY L |
|---|---|
| License Number | 15003852A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | KOKOMO |
| State | IN |