The holder whose full name is DE KONINCK, PAMELA SUE,come from AUBURN IN,hold the Preceptor Eligible license(NO.15002729A) which status is Expired.
| Name | DE KONINCK, PAMELA SUE |
|---|---|
| License Number | 15002729A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | AUBURN |
| State | IN |