The holder whose full name is WILHELMSON, CHRISTOPHER L,come from LAFAYETTE IN,hold the Temporary MD Permit license(NO.99000146A) which status is Superceded.
| Name | WILHELMSON, CHRISTOPHER L |
|---|---|
| License Number | 99000146A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | LAFAYETTE |
| State | IN |