The holder whose full name is APPLEGATE, NANCY F,come from TERRE HAUTE IN,hold the Preceptor Eligible license(NO.15001646A) which status is Expired.
| Name | APPLEGATE, NANCY F |
|---|---|
| License Number | 15001646A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |