Location
Address
2753 Autumn Leaves Dr
City, State
Port Orange, FL 32128-7152
Country
USA
FAA Region
Southern
Medical Certificate
Medical Class
Second Class Medical
Medical Date
October 2015
Medical Expires
October 2016
BasicMed Course
January 30, 2026
BasicMed CMEC
April 8, 2022
Private Pilot
Certificate
Private Pilot
Expiration
None
Ratings
- Airplane Single Engine Land
- Instrument Airplane
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.