The holder whose full name is Landis, Michael E.,come from Indianapolis IN,hold the Temporary MD Permit license(NO.99006661A) which status is Superceded.
| Name | Landis, Michael E. |
|---|---|
| License Number | 99006661A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |