The holder whose full name is Weaver-Osterholtz, Dana Joan,come from Irving TX,hold the Temporary MD Permit license(NO.99008579A) which status is Superceded.
Name | Weaver-Osterholtz, Dana Joan |
---|---|
License Number | 99008579A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Irving |
State | TX |