The holder whose full name is Johnson, Annette Jean,come from Winston Salem NC,hold the Temporary MD Permit license(NO.99001418A) which status is Superceded.
| Name | Johnson, Annette Jean |
|---|---|
| License Number | 99001418A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Winston Salem |
| State | NC |