The holder whose full name is Glassy, Eric Frank,come from Torrance CA,hold the Temporary MD Permit license(NO.99039495A) which status is Superceded.
| Name | Glassy, Eric Frank |
|---|---|
| License Number | 99039495A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Torrance |
| State | CA |