The holder whose full name is Akins, Patty L,come from ALEXANDRIA IN,hold the Preceptor Eligible license(NO.15001183A) which status is Voluntary Surrender.
Name | Akins, Patty L |
---|---|
License Number | 15001183A |
License Type | Preceptor Eligible |
License Status | Voluntary Surrender |
City | ALEXANDRIA |
State | IN |