The holder whose full name is Killeen, Timothy R.,come from Louisville KY,hold the Temporary MD Permit license(NO.99006931A) which status is Superceded.
| Name | Killeen, Timothy R. |
|---|---|
| License Number | 99006931A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Louisville |
| State | KY |