The holder whose full name is Rosenberg, Michael W.,come from Fort Myers FL,hold the Temporary MD Permit license(NO.99024296A) which status is Superceded.
| Name | Rosenberg, Michael W. |
|---|---|
| License Number | 99024296A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Fort Myers |
| State | FL |