The holder whose full name is Doherty, Brendan Thomas,come from Columbia SC,hold the Temporary MD Permit license(NO.99030197A) which status is Superceded.
| Name | Doherty, Brendan Thomas |
|---|---|
| License Number | 99030197A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Columbia |
| State | SC |