The holder whose full name is TIERNEY, BRIAN PATRICK,come from Prospect KY,hold the Temporary MD Permit license(NO.99002661A) which status is Superceded.
Name | TIERNEY, BRIAN PATRICK |
---|---|
License Number | 99002661A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Prospect |
State | KY |