The holder whose full name is Mitchell, Blaine,come from Miami Beach FL,hold the Temporary DO Permit license(NO.99017947A) which status is Superceded.
| Name | Mitchell, Blaine |
|---|---|
| License Number | 99017947A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Miami Beach |
| State | FL |