The holder whose full name is BROWN, BETTY,come from CORYDON IN,hold the Preceptor Eligible license(NO.15003434A) which status is Expired.
| Name | BROWN, BETTY |
|---|---|
| License Number | 15003434A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | CORYDON |
| State | IN |