The holder whose full name is Loftus, Jean M.,come from Fort Wright KY,hold the Temporary MD Permit license(NO.99001497A) which status is Superceded.
| Name | Loftus, Jean M. |
|---|---|
| License Number | 99001497A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Fort Wright |
| State | KY |