The holder whose full name is Koontz, William Luther,come from Louisville KY,hold the Temporary MD Permit license(NO.99024661A) which status is Superceded.
| Name | Koontz, William Luther |
|---|---|
| License Number | 99024661A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Louisville |
| State | KY |