The holder whose full name is BADSKEY, WAYNE A,come from GOSHEN IN,hold the Preceptor Eligible license(NO.15001390A) which status is Expired.
| Name | BADSKEY, WAYNE A |
|---|---|
| License Number | 15001390A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | GOSHEN |
| State | IN |