The holder whose full name is RICHEY, JANICE C,come from NEWBURGH IN,hold the Preceptor Eligible license(NO.15002640A) which status is Expired.
Name | RICHEY, JANICE C |
---|---|
License Number | 15002640A |
License Type | Preceptor Eligible |
License Status | Expired |
City | NEWBURGH |
State | IN |