The holder whose full name is Dewey, Tracy Lynn,come from Terre Haute IN,hold the Preceptor Eligible license(NO.15003895A) which status is Expired.
| Name | Dewey, Tracy Lynn |
|---|---|
| License Number | 15003895A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Terre Haute |
| State | IN |