The holder whose full name is Auburn, Ann M.,come from Goshen IN,hold the Temporary DO Permit license(NO.99012139A) which status is Superceded.
| Name | Auburn, Ann M. |
|---|---|
| License Number | 99012139A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Goshen |
| State | IN |