The holder whose full name is Johnson Hughes, Danita A.,come from Gary IN,hold the Preceptor Eligible license(NO.15002976A) which status is Expired.
| Name | Johnson Hughes, Danita A. |
|---|---|
| License Number | 15002976A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Gary |
| State | IN |