The holder whose full name is Baxter, Jeffrey Lynn,come from Richmond IN,hold the Preceptor Eligible license(NO.15002657A) which status is Expired.
| Name | Baxter, Jeffrey Lynn |
|---|---|
| License Number | 15002657A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Richmond |
| State | IN |