Location
Address
12722 Mannhurst Oak Ln
City, State
Lithia, FL 33547-2115
Country
USA
FAA Region
Southern
Medical Certificate
Medical Class
Third Class Medical
Medical Date
December 2014
Medical Expires
December 2016
BasicMed Course
May 8, 2025
BasicMed CMEC
May 3, 2025
Private Pilot
Certificate
Private Pilot
Expiration
None
Ratings
- Airplane Single Engine Land
- Airplane Single Engine Sea
- Airplane Multiengine Land
- Instrument Airplane
- Rotorcraft-Helicopter
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.