The holder whose full name is Jenis, Andrew D.,come from Canton OH,hold the Temporary MD Permit license(NO.99019313A) which status is Superceded.
| Name | Jenis, Andrew D. |
|---|---|
| License Number | 99019313A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Canton |
| State | OH |