The holder whose full name is Hougland, Kristen Taft,come from Granger IN,hold the Temporary MD Permit license(NO.99055407A) which status is Superceded.
| Name | Hougland, Kristen Taft |
|---|---|
| License Number | 99055407A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Granger |
| State | IN |