The holder whose full name is Lennington, Wayne Jacob,come from Brentwood TN,hold the Temporary MD Permit license(NO.99056538A) which status is Superceded.
Name | Lennington, Wayne Jacob |
---|---|
License Number | 99056538A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Brentwood |
State | TN |