The holder whose full name is Telesford, Jacquelin B.,come from Connersville IN,hold the Temporary MD Permit license(NO.99023328A) which status is Superceded.
| Name | Telesford, Jacquelin B. |
|---|---|
| License Number | 99023328A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Connersville |
| State | IN |