The holder whose full name is HERATH, RICHARD ALBERT,come from ELKHART IN,hold the Preceptor Eligible license(NO.15003430A) which status is Expired.
| Name | HERATH, RICHARD ALBERT |
|---|---|
| License Number | 15003430A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | ELKHART |
| State | IN |