The holder whose full name is Cousins, Joseph Paul,come from Valparaiso IN,hold the Temporary MD Permit license(NO.99044496A) which status is Superceded.
| Name | Cousins, Joseph Paul |
|---|---|
| License Number | 99044496A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Valparaiso |
| State | IN |