The holder whose full name is Williams, Leamon Dale,come from Warsaw IN,hold the Temporary MD Permit license(NO.99004150A) which status is Superceded.
| Name | Williams, Leamon Dale |
|---|---|
| License Number | 99004150A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Warsaw |
| State | IN |