The holder whose full name is Oswalt, Charles Edward,come from Austin TX,hold the Temporary MD Permit license(NO.99057511A) which status is Superceded.
| Name | Oswalt, Charles Edward |
|---|---|
| License Number | 99057511A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Austin |
| State | TX |