The holder whose full name is Cohen, Craig S.,come from Seattle WA,hold the Temporary MD Permit license(NO.99061847A) which status is Superceded.
| Name | Cohen, Craig S. |
|---|---|
| License Number | 99061847A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Seattle |
| State | WA |