The holder whose full name is Bauer, Andrew William,come from El Segundo CA,hold the Temporary MD Permit license(NO.99028751A) which status is Superceded.
| Name | Bauer, Andrew William |
|---|---|
| License Number | 99028751A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | El Segundo |
| State | CA |