The holder whose full name is Lawson, Douglas Todd,come from Portage IN,hold the Temporary MD Permit license(NO.99000570A) which status is Superceded.
| Name | Lawson, Douglas Todd |
|---|---|
| License Number | 99000570A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Portage |
| State | IN |