The holder whose full name is Furgiuele, Terry Lee,come from Amarillo TX,hold the Temporary MD Permit license(NO.99002995A) which status is Superceded.
| Name | Furgiuele, Terry Lee |
|---|---|
| License Number | 99002995A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Amarillo |
| State | TX |