The holder whose full name is Maupin, Matthew G,come from Columbia City IN,hold the Preceptor Eligible - HFA license(NO.15900048A) which status is Active.
| Name | Maupin, Matthew G |
|---|---|
| License Number | 15900048A |
| License Type | Preceptor Eligible - HFA |
| License Status | Active |
| City | Columbia City |
| State | IN |