The holder whose full name is SUMMITT, GAYE A,come from MARTINSVILLE IN,hold the Preceptor Eligible license(NO.15003214A) which status is Expired.
| Name | SUMMITT, GAYE A |
|---|---|
| License Number | 15003214A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | MARTINSVILLE |
| State | IN |