The holder whose full name is GOODMAN, HOWARD L,come from LAWRENCEBURG IN,hold the Preceptor Eligible license(NO.15000014A) which status is Expired.
| Name | GOODMAN, HOWARD L |
|---|---|
| License Number | 15000014A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | LAWRENCEBURG |
| State | IN |