The holder whose full name is Marks, Michael Alan,come from Bowling Green KY,hold the Temporary MD Permit license(NO.99004910A) which status is Superceded.
| Name | Marks, Michael Alan |
|---|---|
| License Number | 99004910A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Bowling Green |
| State | KY |