The holder whose full name is Ballard, Robert L.,come from Birmingham AL,hold the Temporary MD Permit license(NO.99008977A) which status is Superceded.
| Name | Ballard, Robert L. |
|---|---|
| License Number | 99008977A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Birmingham |
| State | AL |