The holder whose full name is FORDYCE, DOROTHY,come from KOKOMO, IN,hold the Preceptor Eligible license(NO.15000962A) which status is Expired.
| Name | FORDYCE, DOROTHY |
|---|---|
| License Number | 15000962A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | KOKOMO, |
| State | IN |