The holder whose full name is Novy, Craig M.,come from Indianapolis IN,hold the Temporary MD Permit license(NO.99013138A) which status is Superceded.
| Name | Novy, Craig M. |
|---|---|
| License Number | 99013138A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |