The holder whose full name is Davis, Carolyn Lee,come from Vincennes IN,hold the Preceptor Eligible license(NO.15004320A) which status is Expired.
| Name | Davis, Carolyn Lee |
|---|---|
| License Number | 15004320A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Vincennes |
| State | IN |