The holder whose full name is Pickering, Paul Loy,come from HAMMOND IN,hold the Temporary MD Permit license(NO.99007128A) which status is Superceded.
| Name | Pickering, Paul Loy |
|---|---|
| License Number | 99007128A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | HAMMOND |
| State | IN |