The holder whose full name is Prokupek, Craig Jay,come from Auburn IN,hold the Preceptor Eligible license(NO.15003292A) which status is Active.
| Name | Prokupek, Craig Jay |
|---|---|
| License Number | 15003292A |
| License Type | Preceptor Eligible |
| License Status | Active |
| City | Auburn |
| State | IN |