The holder whose full name is Small, James Howard,come from Burlington IA,hold the Temporary MD Permit license(NO.99006437A) which status is Superceded.
| Name | Small, James Howard |
|---|---|
| License Number | 99006437A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Burlington |
| State | IA |