The holder whose full name is Brewer, Edward L.,come from Trenton OH,hold the Temporary MD Permit license(NO.99023020A) which status is Superceded.
Name | Brewer, Edward L. |
---|---|
License Number | 99023020A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Trenton |
State | OH |