The holder whose full name is Baker, Carla Fay,come from EVANSVILLE IN,hold the Preceptor Eligible license(NO.15003536A) which status is Expired.
| Name | Baker, Carla Fay |
|---|---|
| License Number | 15003536A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | EVANSVILLE |
| State | IN |