The holder whose full name is Fedge, Deborah Alane,come from Valparaiso IN,hold the Temporary MD Permit license(NO.99008870A) which status is Superceded.
Name | Fedge, Deborah Alane |
---|---|
License Number | 99008870A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Valparaiso |
State | IN |