The holder whose full name is Bernadyn, John,come from Rockdale IL,hold the Preceptor Eligible - HFA license(NO.15900129A) which status is Expired.
Name | Bernadyn, John |
---|---|
License Number | 15900129A |
License Type | Preceptor Eligible - HFA |
License Status | Expired |
City | Rockdale |
State | IL |