The holder whose full name is Ames, Gerard William,come from Seattle WA,hold the Temporary MD Permit license(NO.99049696A) which status is Superceded.
| Name | Ames, Gerard William |
|---|---|
| License Number | 99049696A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Seattle |
| State | WA |