Location
Address
1817 Eagle Crest Dr
City, State
Port Orange, FL 32128-7235
Country
USA
FAA Region
Southern
Medical Certificate
Medical Class
Third Class Medical
Medical Date
June 2025
Medical Expires
June 2027
BasicMed Course
April 26, 2017
BasicMed CMEC
March 5, 2010
Private Pilot
Certificate
Private Pilot
Expiration
None
Ratings
- Airplane Single Engine Land
Repairman - Experimental Aircraft Builder
Certificate
Repairman - Experimental Aircraft Builder
Expiration
None
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.