The holder whose full name is KRIZMANICH, DAVID,come from LOGANSPORT IN,hold the Preceptor Eligible license(NO.15001946A) which status is Expired.
| Name | KRIZMANICH, DAVID |
|---|---|
| License Number | 15001946A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | LOGANSPORT |
| State | IN |