The holder whose full name is Moseley, Elizabeth Hart,come from Poughkeepsie NY,hold the Temporary MD Permit license(NO.99047571A) which status is Superceded.
Name | Moseley, Elizabeth Hart |
---|---|
License Number | 99047571A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Poughkeepsie |
State | NY |