The holder whose full name is Osman, Khaled A.,come from Port Washington NY,hold the Temporary DO Permit license(NO.99034510A) which status is Superceded.
| Name | Osman, Khaled A. |
|---|---|
| License Number | 99034510A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Port Washington |
| State | NY |