The holder whose full name is Rose, Howard Jay,come from Evanston IL,hold the Temporary DO Permit license(NO.99036976A) which status is Superceded.
| Name | Rose, Howard Jay |
|---|---|
| License Number | 99036976A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Evanston |
| State | IL |