The holder whose full name is Mulligan, Daniel Dale,come from Dallas PA,hold the Temporary MD Permit license(NO.99049812A) which status is Superceded.
| Name | Mulligan, Daniel Dale |
|---|---|
| License Number | 99049812A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Dallas |
| State | PA |