The holder whose full name is GEORGE, ANTHONY,come from Louisville KY,hold the Temporary MD Permit license(NO.99000204A) which status is Superceded.
| Name | GEORGE, ANTHONY |
|---|---|
| License Number | 99000204A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Louisville |
| State | KY |