The holder whose full name is Holcomb, Vickie Lynn,come from Lafayette IN,hold the Preceptor Eligible - HFA license(NO.15900050A) which status is Expired.
Name | Holcomb, Vickie Lynn |
---|---|
License Number | 15900050A |
License Type | Preceptor Eligible - HFA |
License Status | Expired |
City | Lafayette |
State | IN |