The holder whose full name is Phelps, George Lemoine,come from PORTLAND IN,hold the HFA Preceptor license(NO.15003825B) which status is Expired.
| Name | Phelps, George Lemoine |
|---|---|
| License Number | 15003825B |
| License Type | HFA Preceptor |
| License Status | Expired |
| City | PORTLAND |
| State | IN |