The holder whose full name is Wilbur, Lee Garett,come from Indianapolis IN,hold the Temporary MD Permit license(NO.99012311A) which status is Superceded.
Name | Wilbur, Lee Garett |
---|---|
License Number | 99012311A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |