The holder whose full name is Brand, Thomas,come from Brookings OR,hold the Temporary DO Permit license(NO.99004506A) which status is Superceded.
| Name | Brand, Thomas |
|---|---|
| License Number | 99004506A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Brookings |
| State | OR |