The holder whose full name is Gum, Amy Elizabeth,come from Richmond IN,hold the Preceptor Eligible - HFA license(NO.15900150A) which status is Active.
| Name | Gum, Amy Elizabeth |
|---|---|
| License Number | 15900150A |
| License Type | Preceptor Eligible - HFA |
| License Status | Active |
| City | Richmond |
| State | IN |