The holder whose full name is Runowski, Alexander Walter,come from Grand Rapids MI,hold the Temporary MD Permit license(NO.99052398A) which status is Superceded.
| Name | Runowski, Alexander Walter |
|---|---|
| License Number | 99052398A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Grand Rapids |
| State | MI |