The holder whose full name is REMSON, ANTHONY T,come from Prospect KY,hold the Temporary MD Permit license(NO.99002901A) which status is Superceded.
Name | REMSON, ANTHONY T |
---|---|
License Number | 99002901A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Prospect |
State | KY |