The holder whose full name is Bush, Dana Michelle,come from Concord NC,hold the Temporary MD Permit license(NO.99000551A) which status is Superceded.
| Name | Bush, Dana Michelle |
|---|---|
| License Number | 99000551A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Concord |
| State | NC |