The holder whose full name is Tancabelic, Jakica,come from Brandon SD,hold the Temporary MD Permit license(NO.99019699A) which status is Superceded.
| Name | Tancabelic, Jakica |
|---|---|
| License Number | 99019699A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Brandon |
| State | SD |