The holder whose full name is Lazor Underwood, Bonnie A,come from Louisville KY,hold the Temporary MD Permit license(NO.99034886A) which status is Superceded.
Name | Lazor Underwood, Bonnie A |
---|---|
License Number | 99034886A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Louisville |
State | KY |