The holder whose full name is Sussman, Arlene,come from Eden Prairie MN,hold the Temporary MD Permit license(NO.99048490A) which status is Superceded.
| Name | Sussman, Arlene |
|---|---|
| License Number | 99048490A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Eden Prairie |
| State | MN |