The holder whose full name is Werner, Angela Jean,come from McDonough GA,hold the Preceptor Eligible license(NO.15004080A) which status is Expired.
| Name | Werner, Angela Jean |
|---|---|
| License Number | 15004080A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | McDonough |
| State | GA |