The holder whose full name is Duffens, Kurt Robert,come from Portland OR,hold the Temporary MD Permit license(NO.99019757A) which status is Superceded.
| Name | Duffens, Kurt Robert |
|---|---|
| License Number | 99019757A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Portland |
| State | OR |