The holder whose full name is Flores, Luis A.,come from Plantation FL,hold the Temporary MD Permit license(NO.99001454A) which status is Superceded.
| Name | Flores, Luis A. |
|---|---|
| License Number | 99001454A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Plantation |
| State | FL |