The holder whose full name is Spinuzza, Thomas John,come from Eden Prairie MN,hold the Temporary MD Permit license(NO.99043240A) which status is Superceded.
Name | Spinuzza, Thomas John |
---|---|
License Number | 99043240A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Eden Prairie |
State | MN |