The holder whose full name is Curioso, Evelyn Angelita,come from Portland OR,hold the Temporary MD Permit license(NO.99005222A) which status is Superceded.
| Name | Curioso, Evelyn Angelita |
|---|---|
| License Number | 99005222A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Portland |
| State | OR |