The holder whose full name is Skillicorn, Brian J,come from Cincinnati OH,hold the Temporary MD Permit license(NO.99022104A) which status is Superceded.
| Name | Skillicorn, Brian J |
|---|---|
| License Number | 99022104A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Cincinnati |
| State | OH |