The holder whose full name is LAWRENZ, DAVID T,come from NORTH MANCHESTER IN,hold the Preceptor Eligible license(NO.15001221A) which status is Expired.
| Name | LAWRENZ, DAVID T |
|---|---|
| License Number | 15001221A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | NORTH MANCHESTER |
| State | IN |