The holder whose full name is Harris, David T.,come from Evansville IN,hold the Temporary MD Permit license(NO.99004281A) which status is Superceded.
| Name | Harris, David T. |
|---|---|
| License Number | 99004281A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Evansville |
| State | IN |