The holder whose full name is Shade, George Henry,come from Farmington Hills MI,hold the Temporary MD Permit license(NO.99054670A) which status is Superceded.
| Name | Shade, George Henry |
|---|---|
| License Number | 99054670A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Farmington Hills |
| State | MI |