The holder whose full name is De Salvo, John A.,come from Tinley Park IL,hold the Medical Residency Permit license(NO.11010164A) which status is Superceded.
| Name | De Salvo, John A. |
|---|---|
| License Number | 11010164A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Tinley Park |
| State | IL |