The holder whose full name is German, Edward L.,come from Fort Myers FL,hold the Temporary MD Permit license(NO.99009376A) which status is Superceded.
| Name | German, Edward L. |
|---|---|
| License Number | 99009376A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Fort Myers |
| State | FL |