The holder whose full name is Brewer, Connie S.,come from French Lick IN,hold the Preceptor Eligible license(NO.15002641A) which status is Expired.
| Name | Brewer, Connie S. |
|---|---|
| License Number | 15002641A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | French Lick |
| State | IN |