The holder whose full name is Miller, Michael Lawrence,come from Phoenix AZ,hold the Temporary DO Permit license(NO.99042715A) which status is Superceded.
| Name | Miller, Michael Lawrence |
|---|---|
| License Number | 99042715A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Phoenix |
| State | AZ |