The holder whose full name is Weilnhammer, Frank Xaver,come from Portage IN,hold the Temporary MD Permit license(NO.99034761A) which status is Superceded.
| Name | Weilnhammer, Frank Xaver |
|---|---|
| License Number | 99034761A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Portage |
| State | IN |