The holder whose full name is Premo, Brenda Jean,come from Mitchell IN,hold the Preceptor Eligible - HFA license(NO.15900027A) which status is Expired.
| Name | Premo, Brenda Jean |
|---|---|
| License Number | 15900027A |
| License Type | Preceptor Eligible - HFA |
| License Status | Expired |
| City | Mitchell |
| State | IN |