The holder whose full name is Tate, David Edward,come from Louisville KY,hold the Temporary MD Permit license(NO.99014767A) which status is Superceded.
| Name | Tate, David Edward |
|---|---|
| License Number | 99014767A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Louisville |
| State | KY |