The holder whose full name is CARR, BRIAN D,come from FORT WAYNE IN,hold the Preceptor Eligible license(NO.15002169A) which status is Expired.
| Name | CARR, BRIAN D |
|---|---|
| License Number | 15002169A |
| License Type | Preceptor Eligible |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |