The holder whose full name is Boykin, Clarence E,come from Homewood IL,hold the Preceptor Eligible license(NO.15004648A) which status is Expired.
| Name | Boykin, Clarence E |
|---|---|
| License Number | 15004648A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Homewood |
| State | IL |