The holder whose full name is Tetrick, Lisa Rae,come from Sellersburg IN,hold the Preceptor Eligible license(NO.15003871A) which status is Active.
| Name | Tetrick, Lisa Rae |
|---|---|
| License Number | 15003871A |
| License Type | Preceptor Eligible |
| License Status | Active |
| City | Sellersburg |
| State | IN |