The holder whose full name is Johnson, Daniel Greenlee,come from Evansville IN,hold the Temporary MD Permit license(NO.99000327A) which status is Superceded.
| Name | Johnson, Daniel Greenlee |
|---|---|
| License Number | 99000327A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Evansville |
| State | IN |