The holder whose full name is RICKERT, EVERETT,come from LAFAYETTE IN,hold the Preceptor Eligible license(NO.15000179A) which status is Expired.
| Name | RICKERT, EVERETT |
|---|---|
| License Number | 15000179A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |