The holder whose full name is Roche, Florence Amirdham,come from Chicago IL,hold the Temporary DO Permit license(NO.99009546A) which status is Superceded.
Name | Roche, Florence Amirdham |
---|---|
License Number | 99009546A |
License Type | Temporary DO Permit |
License Status | Superceded |
City | Chicago |
State | IL |