The holder whose full name is Porter, Anthony,come from Huntertown IN,hold the Temporary MD Permit license(NO.99012243A) which status is Superceded.
| Name | Porter, Anthony |
|---|---|
| License Number | 99012243A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Huntertown |
| State | IN |