The holder whose full name is LEGERE, CHARLOTTE E,come from MILTON IN,hold the Preceptor Eligible license(NO.15000027A) which status is Expired.
| Name | LEGERE, CHARLOTTE E |
|---|---|
| License Number | 15000027A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | MILTON |
| State | IN |