The holder whose full name is LENNARTZ, DAVID M.,come from INDIANAPOLIS, IN,hold the Preceptor Eligible license(NO.15002608A) which status is Expired.
| Name | LENNARTZ, DAVID M. |
|---|---|
| License Number | 15002608A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | INDIANAPOLIS, |
| State | IN |