The holder whose full name is Lawrenz, David T.,come from North Manchester IN,hold the Preceptor Eligible - HFA license(NO.15900031A) which status is Active.
| Name | Lawrenz, David T. |
|---|---|
| License Number | 15900031A |
| License Type | Preceptor Eligible - HFA |
| License Status | Active |
| City | North Manchester |
| State | IN |