The holder whose full name is Backer, Joel Evan,come from Richmond VA,hold the Temporary MD Permit license(NO.99057159A) which status is Superceded.
| Name | Backer, Joel Evan |
|---|---|
| License Number | 99057159A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Richmond |
| State | VA |