The holder whose full name is Plantinga, Judy,come from Michigan City IN,hold the Preceptor Eligible - HFA license(NO.15900133A) which status is Active.
| Name | Plantinga, Judy |
|---|---|
| License Number | 15900133A |
| License Type | Preceptor Eligible - HFA |
| License Status | Active |
| City | Michigan City |
| State | IN |