The holder whose full name is ANDRAE, JOHN L,come from ZIONSVILLE IN,hold the Preceptor Eligible license(NO.15001500A) which status is Expired.
| Name | ANDRAE, JOHN L |
|---|---|
| License Number | 15001500A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | ZIONSVILLE |
| State | IN |