The holder whose full name is Farrell, Robert Smith,come from Dallas TX,hold the Temporary MD Permit license(NO.99020039A) which status is Superceded.
| Name | Farrell, Robert Smith |
|---|---|
| License Number | 99020039A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Dallas |
| State | TX |