The holder whose full name is Koshinski, Rita Susan,come from Corvallis OR,hold the Temporary DO Permit license(NO.99000649A) which status is Superceded.
| Name | Koshinski, Rita Susan |
|---|---|
| License Number | 99000649A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Corvallis |
| State | OR |