The holder whose full name is WEIDEKAMP, ANDREW J,come from Carmel IN,hold the Preceptor Eligible license(NO.15001123A) which status is Expired.
| Name | WEIDEKAMP, ANDREW J |
|---|---|
| License Number | 15001123A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Carmel |
| State | IN |