The holder whose full name is BRINN, LISA MICHELE,come from Madison WI,hold the Temporary MD Permit license(NO.99002184A) which status is Expired.
| Name | BRINN, LISA MICHELE |
|---|---|
| License Number | 99002184A |
| License Type | Temporary MD Permit |
| License Status | Expired |
| City | Madison |
| State | WI |