The holder whose full name is JOHNSON, DORIS JEAN,come from SCOTTSBURG IN,hold the Preceptor Eligible license(NO.15002522A) which status is Expired.
| Name | JOHNSON, DORIS JEAN |
|---|---|
| License Number | 15002522A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | SCOTTSBURG |
| State | IN |