The holder whose full name is Eversole, David Owen,come from Monticello IL,hold the Preceptor Eligible license(NO.15003600A) which status is Expired.
| Name | Eversole, David Owen |
|---|---|
| License Number | 15003600A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Monticello |
| State | IL |