The holder whose full name is BROWN, CLARENCE EDWARD,come from Bloomington IN,hold the Temporary MD Permit license(NO.99002008A) which status is Superceded.
| Name | BROWN, CLARENCE EDWARD |
|---|---|
| License Number | 99002008A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Bloomington |
| State | IN |