The holder whose full name is Moss, Fred Robert,come from Carmichael CA,hold the Temporary MD Permit license(NO.99012323A) which status is Superceded.
| Name | Moss, Fred Robert |
|---|---|
| License Number | 99012323A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Carmichael |
| State | CA |