The holder whose full name is Halanski, Amy,come from Cross Plains WI,hold the Temporary MD Permit license(NO.99063565A) which status is Superceded.
| Name | Halanski, Amy |
|---|---|
| License Number | 99063565A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Cross Plains |
| State | WI |