The holder whose full name is Van Valkenburg, Charles Mac,come from Reno NV,hold the Temporary MD Permit license(NO.99032112A) which status is Expired.
| Name | Van Valkenburg, Charles Mac |
|---|---|
| License Number | 99032112A |
| License Type | Temporary MD Permit |
| License Status | Expired |
| City | Reno |
| State | NV |