The holder whose full name is Oates, Charles Edwin,come from Louisville KY,hold the Temporary MD Permit license(NO.99036020A) which status is Superceded.
| Name | Oates, Charles Edwin |
|---|---|
| License Number | 99036020A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Louisville |
| State | KY |