The holder whose full name is Loos, Mary E,come from Dallas TX,hold the Temporary MD Permit license(NO.99050687A) which status is Superceded.
| Name | Loos, Mary E |
|---|---|
| License Number | 99050687A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Dallas |
| State | TX |