The holder whose full name is OTT, JEFFREY L,come from WARSAW IN,hold the Preceptor Eligible license(NO.15003245A) which status is Expired.
| Name | OTT, JEFFREY L |
|---|---|
| License Number | 15003245A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | WARSAW |
| State | IN |