The holder whose full name is Vincent, Alix,come from Corona Del Mar CA,hold the Temporary MD Permit license(NO.99055720A) which status is Superceded.
| Name | Vincent, Alix |
|---|---|
| License Number | 99055720A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Corona Del Mar |
| State | CA |