The holder whose full name is Probst, Louis Ernest,come from Ann Arbor MI,hold the Temporary MD Permit license(NO.99004512A) which status is Superceded.
Name | Probst, Louis Ernest |
---|---|
License Number | 99004512A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Ann Arbor |
State | MI |