The holder whose full name is CHAPMAN, MARY LOU,come from SULLIVAN IN,hold the Preceptor Eligible license(NO.15002951A) which status is Expired.
| Name | CHAPMAN, MARY LOU |
|---|---|
| License Number | 15002951A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | SULLIVAN |
| State | IN |