The holder whose full name is Judd, John Alton,come from Prospect KY,hold the Temporary MD Permit license(NO.99060454A) which status is Superceded.
Name | Judd, John Alton |
---|---|
License Number | 99060454A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Prospect |
State | KY |