The holder whose full name is Manzo, Andrea,come from Dothan AL,hold the Temporary MD Permit license(NO.99007834A) which status is Superceded.
| Name | Manzo, Andrea |
|---|---|
| License Number | 99007834A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Dothan |
| State | AL |