The holder whose full name is Green, Charles Joseph,come from East Lansing MI,hold the Temporary DO Permit license(NO.99047711A) which status is Superceded.
| Name | Green, Charles Joseph |
|---|---|
| License Number | 99047711A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | East Lansing |
| State | MI |