The holder whose full name is Gore, Diana Sue,come from Flat Rock IN,hold the Preceptor Eligible - RCA license(NO.15900074A) which status is Active.
| Name | Gore, Diana Sue |
|---|---|
| License Number | 15900074A |
| License Type | Preceptor Eligible - RCA |
| License Status | Active |
| City | Flat Rock |
| State | IN |