The holder whose full name is Mina, Christopher Louis,come from Bothell WA,hold the Temporary MD Permit license(NO.99007460A) which status is Superceded.
| Name | Mina, Christopher Louis |
|---|---|
| License Number | 99007460A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Bothell |
| State | WA |