The holder whose full name is Caracciolo, Jamie Todd,come from Tampa FL,hold the Temporary MD Permit license(NO.99040130A) which status is Superceded.
| Name | Caracciolo, Jamie Todd |
|---|---|
| License Number | 99040130A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Tampa |
| State | FL |