The holder whose full name is Archer, Derek Christopher,come from Charleston IL,hold the Temporary MD Permit license(NO.99001979A) which status is Superceded.
| Name | Archer, Derek Christopher |
|---|---|
| License Number | 99001979A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Charleston |
| State | IL |