The holder whose full name is Bailey, Richard Wager,come from Auburn KY,hold the Temporary MD Permit license(NO.99031032A) which status is Superceded.
| Name | Bailey, Richard Wager |
|---|---|
| License Number | 99031032A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Auburn |
| State | KY |