The holder whose full name is LABBAN, JOHN RAYMOND,come from Bloomington IN,hold the Temporary MD Permit license(NO.99003290A) which status is Superceded.
| Name | LABBAN, JOHN RAYMOND |
|---|---|
| License Number | 99003290A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Bloomington |
| State | IN |