The holder whose full name is SCOTT, BERNICE K,come from INDIANAPOLIS IN,hold the Preceptor Eligible license(NO.15001655A) which status is Expired.
| Name | SCOTT, BERNICE K |
|---|---|
| License Number | 15001655A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |