The holder whose full name is JEAN, CLIFFORD,come from Arlington WA,hold the Temporary MD Permit license(NO.99001663A) which status is Superceded.
| Name | JEAN, CLIFFORD |
|---|---|
| License Number | 99001663A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Arlington |
| State | WA |