The holder whose full name is Houle, Bruce J.C.,come from Herrin IL,hold the Temporary DO Permit license(NO.99003797A) which status is Superceded.
Name | Houle, Bruce J.C. |
---|---|
License Number | 99003797A |
License Type | Temporary DO Permit |
License Status | Superceded |
City | Herrin |
State | IL |