The holder whose full name is Schmidt, Michael J.,come from Crestwood KY,hold the Temporary MD Permit license(NO.99000846A) which status is Superceded.
Name | Schmidt, Michael J. |
---|---|
License Number | 99000846A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Crestwood |
State | KY |