The holder whose full name is Koch, Christian E.,come from Dayton OH,hold the Temporary MD Permit license(NO.99002268A) which status is Superceded.
| Name | Koch, Christian E. |
|---|---|
| License Number | 99002268A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Dayton |
| State | OH |