The holder whose full name is Welch, Derek Christopher,come from Brentwood TN,hold the Temporary MD Permit license(NO.99056491A) which status is Superceded.
| Name | Welch, Derek Christopher |
|---|---|
| License Number | 99056491A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Brentwood |
| State | TN |