The holder whose full name is ROSS, ANDRIS ELLEN,come from ANDREWS IN,hold the Preceptor Eligible license(NO.15002017A) which status is Expired.
| Name | ROSS, ANDRIS ELLEN |
|---|---|
| License Number | 15002017A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | ANDREWS |
| State | IN |