The holder whose full name is Pittman, Daniel Joe,come from Greenwood IN,hold the Preceptor Eligible license(NO.15002920A) which status is Expired.
| Name | Pittman, Daniel Joe |
|---|---|
| License Number | 15002920A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Greenwood |
| State | IN |