The holder whose full name is Tucker, James Patrick,come from Charlestown IN,hold the Temporary MD Permit license(NO.99003283A) which status is Superceded.
| Name | Tucker, James Patrick |
|---|---|
| License Number | 99003283A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Charlestown |
| State | IN |