The holder whose full name is LONG, DOUGLAS W,come from Mishawaka IN,hold the Temporary PA Permit license(NO.99002189A) which status is Superceded.
| Name | LONG, DOUGLAS W |
|---|---|
| License Number | 99002189A |
| License Type | Temporary PA Permit |
| License Status | Superceded |
| City | Mishawaka |
| State | IN |