The holder whose full name is Coutinho, Kathleen D,come from Terre Haute IN,hold the Temporary MD Permit license(NO.99014164A) which status is Superceded.
| Name | Coutinho, Kathleen D |
|---|---|
| License Number | 99014164A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |