The holder whose full name is Lerma, Edgar Villanueva,come from Munster IN,hold the Temporary MD Permit license(NO.99011573A) which status is Superceded.
| Name | Lerma, Edgar Villanueva |
|---|---|
| License Number | 99011573A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Munster |
| State | IN |