The holder whose full name is LOGIO, LIA SUZANNE,come from Zionsville IN,hold the Temporary MD Permit license(NO.99003159A) which status is Superceded.
| Name | LOGIO, LIA SUZANNE |
|---|---|
| License Number | 99003159A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Zionsville |
| State | IN |