The holder whose full name is Haney, Barry Denzil,come from Georgetown KY,hold the Temporary MD Permit license(NO.99026313A) which status is Superceded.
Name | Haney, Barry Denzil |
---|---|
License Number | 99026313A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Georgetown |
State | KY |