Location
Address
9528 Carriage Ln
City, State
Fort Wayne, IN 46804-3918
Country
USA
FAA Region
Great Lakes
Medical Certificate
Medical Class
Second Class Medical
Medical Date
October 2017
Medical Expires
October 2018
BasicMed Course
April 12, 2024
BasicMed CMEC
April 12, 2022
Data Source
Data provided by the FAA Airmen Certification Database. AviatorDB provides a searchable interface to FAA airman certification records, making public data accessible and easy to explore.