The holder whose full name is McHenry, Lee,come from Indianapolis IN,hold the Temporary MD Permit license(NO.99004544A) which status is Superceded.
| Name | McHenry, Lee |
|---|---|
| License Number | 99004544A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |