The holder whose full name is Collins, Teresa Sue,come from Wabash IN,hold the Preceptor Eligible license(NO.15003160A) which status is Expired.
| Name | Collins, Teresa Sue |
|---|---|
| License Number | 15003160A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Wabash |
| State | IN |