The holder whose full name is Miller, Dena Lynne,come from New Haven CT,hold the Temporary MD Permit license(NO.99002870A) which status is Superceded.
| Name | Miller, Dena Lynne |
|---|---|
| License Number | 99002870A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | New Haven |
| State | CT |