The holder whose full name is Yahanda, Alan M.,come from Fort Wayne IN,hold the Temporary MD Permit license(NO.99001061A) which status is Superceded.
| Name | Yahanda, Alan M. |
|---|---|
| License Number | 99001061A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |