The holder whose full name is Barnes, Martin P,come from Scottsburg IN,hold the Preceptor Eligible license(NO.15003667A) which status is Expired.
| Name | Barnes, Martin P |
|---|---|
| License Number | 15003667A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Scottsburg |
| State | IN |