The holder whose full name is KAFFENBERGER, DOUGLAS ALLEN,come from Bristol TN,hold the Temporary MD Permit license(NO.99000845A) which status is Superceded.
| Name | KAFFENBERGER, DOUGLAS ALLEN |
|---|---|
| License Number | 99000845A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Bristol |
| State | TN |