The holder whose full name is DeCola, Robert James,come from South Bend IN,hold the Preceptor Eligible license(NO.15004085A) which status is Expired.
| Name | DeCola, Robert James |
|---|---|
| License Number | 15004085A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | South Bend |
| State | IN |