The holder whose full name is MILLER, GLENN ALAN,come from Louisville KY,hold the Temporary MD Permit license(NO.99001119A) which status is Superceded.
| Name | MILLER, GLENN ALAN |
|---|---|
| License Number | 99001119A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Louisville |
| State | KY |