The holder whose full name is Lackey, Charles W.,come from Evansville IN,hold the Temporary DO Permit license(NO.99025381A) which status is Superceded.
| Name | Lackey, Charles W. |
|---|---|
| License Number | 99025381A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Evansville |
| State | IN |