The holder whose full name is Lauth, William Brian,come from Deerfield IL,hold the Temporary MD Permit license(NO.99019736A) which status is Superceded.
| Name | Lauth, William Brian |
|---|---|
| License Number | 99019736A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Deerfield |
| State | IL |