The holder whose full name is Baker, Robert S.,come from Lexington KY,hold the Temporary MD Permit license(NO.99008577A) which status is Superceded.
| Name | Baker, Robert S. |
|---|---|
| License Number | 99008577A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Lexington |
| State | KY |