The holder whose full name is Laurel, Andrew L.,come from Louisville KY,hold the Temporary MD Permit license(NO.99025334A) which status is Superceded.
| Name | Laurel, Andrew L. |
|---|---|
| License Number | 99025334A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Louisville |
| State | KY |