The holder whose full name is Powers, Jerry,come from Evansville IN,hold the Preceptor Eligible license(NO.15001312A) which status is Expired.
| Name | Powers, Jerry |
|---|---|
| License Number | 15001312A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Evansville |
| State | IN |