The holder whose full name is Carpenter, Anne Betts,come from Hurricane WV,hold the Temporary MD Permit license(NO.99039523A) which status is Superceded.
| Name | Carpenter, Anne Betts |
|---|---|
| License Number | 99039523A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Hurricane |
| State | WV |