The holder whose full name is COOPER, JEFF A.,come from INDIANAPOLIS, IN,hold the Preceptor Eligible license(NO.15001584A) which status is Expired.
| Name | COOPER, JEFF A. |
|---|---|
| License Number | 15001584A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | INDIANAPOLIS, |
| State | IN |