The holder whose full name is MCKINNEY, ANDREA IRENE,come from NEWBURGH IN,hold the Preceptor Eligible license(NO.15004120A) which status is Expired.
Name | MCKINNEY, ANDREA IRENE |
---|---|
License Number | 15004120A |
License Type | Preceptor Eligible |
License Status | Expired |
City | NEWBURGH |
State | IN |