The holder whose full name is Johnson, Amy Lee,come from Pewee Valley KY,hold the Temporary MD Permit license(NO.99010375A) which status is Superceded.
| Name | Johnson, Amy Lee |
|---|---|
| License Number | 99010375A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Pewee Valley |
| State | KY |