The holder whose full name is Holloway, Rita Jo,come from Marion IN,hold the Preceptor Eligible - HFA license(NO.15900108A) which status is Expired.
| Name | Holloway, Rita Jo |
|---|---|
| License Number | 15900108A |
| License Type | Preceptor Eligible - HFA |
| License Status | Expired |
| City | Marion |
| State | IN |