The holder whose full name is Lombardo, Anthony Joseph,come from Indianapolis IN,hold the Temporary MD Permit license(NO.99006301A) which status is Superceded.
| Name | Lombardo, Anthony Joseph |
|---|---|
| License Number | 99006301A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |