The holder whose full name is OTT, GARY LEE,come from Marion IN,hold the Preceptor Eligible license(NO.15003023A) which status is Expired.
| Name | OTT, GARY LEE |
|---|---|
| License Number | 15003023A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Marion |
| State | IN |