The holder whose full name is Profumo, Michelle Marie,come from Louisville KY,hold the Preceptor Eligible license(NO.15004093A) which status is Expired.
| Name | Profumo, Michelle Marie |
|---|---|
| License Number | 15004093A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Louisville |
| State | KY |