The holder whose full name is Dondino, Jeffrey Neal,come from Portland OR,hold the Temporary MD Permit license(NO.99006123A) which status is Superceded.
| Name | Dondino, Jeffrey Neal |
|---|---|
| License Number | 99006123A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Portland |
| State | OR |