The holder whose full name is Kordish, Theresa Ann,come from Kalamazoo MI,hold the Temporary DO Permit license(NO.99028631A) which status is Superceded.
| Name | Kordish, Theresa Ann |
|---|---|
| License Number | 99028631A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Kalamazoo |
| State | MI |