The holder whose full name is Lubisich, John Peter,come from Poway CA,hold the Temporary MD Permit license(NO.99009333A) which status is Superceded.
| Name | Lubisich, John Peter |
|---|---|
| License Number | 99009333A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Poway |
| State | CA |