The holder whose full name is Brown, Martin E.,come from Louisville KY,hold the Temporary MD Permit license(NO.99040621A) which status is Superceded.
| Name | Brown, Martin E. |
|---|---|
| License Number | 99040621A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Louisville |
| State | KY |