The holder whose full name is HEIMER, BRIAN TERENCE,come from New Albany IN,hold the Temporary MD Permit license(NO.99000533A) which status is Superceded.
| Name | HEIMER, BRIAN TERENCE |
|---|---|
| License Number | 99000533A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | New Albany |
| State | IN |