The holder whose full name is Vaughn, James W.,come from Overland Park KS,hold the Temporary MD Permit license(NO.99005212A) which status is Superceded.
Name | Vaughn, James W. |
---|---|
License Number | 99005212A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Overland Park |
State | KS |