The holder whose full name is Fry, John A,come from Columbus IN,hold the Temporary MD Permit license(NO.99002591A) which status is Superceded.
| Name | Fry, John A |
|---|---|
| License Number | 99002591A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Columbus |
| State | IN |