The holder whose full name is Swartz-Williams, Leslie,come from Fort Wayne IN,hold the Temporary MD Permit license(NO.99005121A) which status is Superceded.
| Name | Swartz-Williams, Leslie |
|---|---|
| License Number | 99005121A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |