The holder whose full name is Sussman, Daniel,come from Las Vegas NV,hold the Temporary MD Permit license(NO.99004892A) which status is Superceded.
| Name | Sussman, Daniel |
|---|---|
| License Number | 99004892A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Las Vegas |
| State | NV |