The holder whose full name is Bray, Melissa Marie,come from Portage IN,hold the Temporary MD Permit license(NO.99052752A) which status is Superceded.
| Name | Bray, Melissa Marie |
|---|---|
| License Number | 99052752A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Portage |
| State | IN |