The holder whose full name is Dinsmore, Phil E.,come from Evansville IN,hold the Temporary MD Permit license(NO.99020672A) which status is Superceded.
Name | Dinsmore, Phil E. |
---|---|
License Number | 99020672A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Evansville |
State | IN |