The holder whose full name is Smith, Leslie Fegenbush,come from Brandenburg KY,hold the Temporary DO Permit license(NO.99033406A) which status is Superceded.
| Name | Smith, Leslie Fegenbush |
|---|---|
| License Number | 99033406A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Brandenburg |
| State | KY |