The holder whose full name is Conger, George Dean,come from La Conner WA,hold the Temporary MD Permit license(NO.99012508A) which status is Superceded.
| Name | Conger, George Dean |
|---|---|
| License Number | 99012508A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | La Conner |
| State | WA |