The holder whose full name is Fitzpatrick, Ginger Lee,come from Martinsville IN,hold the Preceptor Eligible license(NO.15002398A) which status is Expired.
Name | Fitzpatrick, Ginger Lee |
---|---|
License Number | 15002398A |
License Type | Preceptor Eligible |
License Status | Expired |
City | Martinsville |
State | IN |