The holder whose full name is Bussen, Betty Lou,come from Richmond IN,hold the Preceptor Eligible license(NO.15003217A) which status is Expired.
| Name | Bussen, Betty Lou |
|---|---|
| License Number | 15003217A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Richmond |
| State | IN |