The holder whose full name is Lottenberg, Lawrence,come from Gainesville FL,hold the Temporary MD Permit license(NO.99062832A) which status is Superceded.
| Name | Lottenberg, Lawrence |
|---|---|
| License Number | 99062832A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Gainesville |
| State | FL |