The holder whose full name is Allen, Bradley L.,come from Zionsville IN,hold the Temporary MD Permit license(NO.99001498A) which status is Superceded.
| Name | Allen, Bradley L. |
|---|---|
| License Number | 99001498A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Zionsville |
| State | IN |