The holder whose full name is Johnson, James E.,come from Kerrville TX,hold the Temporary MD Permit license(NO.99004579A) which status is Superceded.
| Name | Johnson, James E. |
|---|---|
| License Number | 99004579A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Kerrville |
| State | TX |