The holder whose full name is Carnovale, David Enrico,come from Indianapolis IN,hold the Temporary MD Permit license(NO.99036843A) which status is Superceded.
| Name | Carnovale, David Enrico |
|---|---|
| License Number | 99036843A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |