The holder whose full name is JOHNSON, HILDA,come from INDIANAPOLIS, IN,hold the Preceptor Eligible license(NO.15000889A) which status is Expired.
| Name | JOHNSON, HILDA |
|---|---|
| License Number | 15000889A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | INDIANAPOLIS, |
| State | IN |