The holder whose full name is Mills, Betty Jo A.,come from Terre Haute IN,hold the Temporary MD Permit license(NO.99020546A) which status is Superceded.
| Name | Mills, Betty Jo A. |
|---|---|
| License Number | 99020546A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |