The holder whose full name is Shockney, Brian Trent,come from Lafayette IN,hold the Preceptor Eligible license(NO.15004171A) which status is Expired.
| Name | Shockney, Brian Trent |
|---|---|
| License Number | 15004171A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Lafayette |
| State | IN |