The holder whose full name is Smith, Deane Landon,come from Evansville IN,hold the Temporary MD Permit license(NO.99002322A) which status is Superceded.
| Name | Smith, Deane Landon |
|---|---|
| License Number | 99002322A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Evansville |
| State | IN |