The holder whose full name is Johnston, Donald Alan,come from La Junta CO,hold the Temporary MD Permit license(NO.99036528A) which status is Superceded.
| Name | Johnston, Donald Alan |
|---|---|
| License Number | 99036528A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | La Junta |
| State | CO |