The holder whose full name is Allen, Larry M.,come from Greenwood IN,hold the Preceptor Eligible license(NO.15002276A) which status is Expired.
| Name | Allen, Larry M. |
|---|---|
| License Number | 15002276A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Greenwood |
| State | IN |