The holder whose full name is Cole, Carolyn Sue,come from Lafayette IN,hold the Preceptor Eligible license(NO.15003525A) which status is Expired.
| Name | Cole, Carolyn Sue |
|---|---|
| License Number | 15003525A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Lafayette |
| State | IN |