The holder whose full name is Kinser, Donna K.,come from Charlestown IN,hold the Preceptor Eligible license(NO.1504252A) which status is Expired.
Name | Kinser, Donna K. |
---|---|
License Number | 1504252A |
License Type | Preceptor Eligible |
License Status | Expired |
City | Charlestown |
State | IN |