The holder whose full name is Kollen, Craig Doulglas,come from Fort Wayne IN,hold the Preceptor Eligible - HFA license(NO.15900092A) which status is Active.
| Name | Kollen, Craig Doulglas |
|---|---|
| License Number | 15900092A |
| License Type | Preceptor Eligible - HFA |
| License Status | Active |
| City | Fort Wayne |
| State | IN |