The holder whose full name is Holder, James Anthony,come from Newburgh IN,hold the Temporary MD Permit license(NO.99012509A) which status is Superceded.
| Name | Holder, James Anthony |
|---|---|
| License Number | 99012509A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Newburgh |
| State | IN |