The holder whose full name is Hirai, Derek Kazuo,come from Bloomington IN,hold the Athletic Trainer license(NO.36001329A) which status is Expired.
| Name | Hirai, Derek Kazuo |
|---|---|
| License Number | 36001329A |
| License Type | Athletic Trainer |
| License Status | Expired |
| City | Bloomington |
| State | IN |