The holder whose full name is Thompson, Kenneth A.,come from Watseka IL,hold the Temporary DO Permit license(NO.99006063A) which status is Superceded.
| Name | Thompson, Kenneth A. |
|---|---|
| License Number | 99006063A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Watseka |
| State | IL |