The holder whose full name is Watkins, Larry E,come from Fort Wayne IN,hold the Preceptor Eligible license(NO.15002414A) which status is Expired.
| Name | Watkins, Larry E |
|---|---|
| License Number | 15002414A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |