The holder whose full name is Herholdt, Jan Andries,come from Nashville TN,hold the Temporary MD Permit license(NO.99026762A) which status is Superceded.
| Name | Herholdt, Jan Andries |
|---|---|
| License Number | 99026762A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Nashville |
| State | TN |