The holder whose full name is CLEMENT, DAVID,come from BERNE IN,hold the Preceptor Eligible license(NO.15002204A) which status is Expired.
| Name | CLEMENT, DAVID |
|---|---|
| License Number | 15002204A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | BERNE |
| State | IN |