The holder whose full name is Nelson, Michael J,come from Warren IN,hold the Preceptor Eligible - HFA license(NO.15900045A) which status is Active.
| Name | Nelson, Michael J |
|---|---|
| License Number | 15900045A |
| License Type | Preceptor Eligible - HFA |
| License Status | Active |
| City | Warren |
| State | IN |