The holder whose full name is Bice, Michael James,come from Sullivan IN,hold the Preceptor Eligible license(NO.15003626A) which status is Expired.
| Name | Bice, Michael James |
|---|---|
| License Number | 15003626A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | Sullivan |
| State | IN |