The holder whose full name is Lang, John Douglas,come from Jasper IN,hold the Temporary MD Permit license(NO.99002066A) which status is Superceded.
| Name | Lang, John Douglas |
|---|---|
| License Number | 99002066A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Jasper |
| State | IN |