The holder whose full name is Schielke, Lorenz H,come from Valparaiso IN,hold the Temporary MD Permit license(NO.99012393A) which status is Superceded.
| Name | Schielke, Lorenz H |
|---|---|
| License Number | 99012393A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Valparaiso |
| State | IN |