is enrolled (as determined by the educational institution pursuant to direction by the Secretary). (ii) The participant is dismissed from such educational institution for disciplinary reasons. (iii) The participant voluntarily terminates the course of education or training in such educational institution before the completion of such course of education or training. (iv) The participant, as applicable, during a period of time determined by the Secretary— (I) fails to become licensed to practice medicine, osteopathy, dentistry, podiatry, or optometry in a State