The holder whose full name is Ollapally, Elsie Phillipos,come from Brentwood TN,hold the Temporary MD Permit license(NO.99056751A) which status is Superceded.
| Name | Ollapally, Elsie Phillipos |
|---|---|
| License Number | 99056751A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Brentwood |
| State | TN |