The holder whose full name is Salam, Tanvir US,come from Westport CT,hold the Temporary MD Permit license(NO.99051509A) which status is Superceded.
| Name | Salam, Tanvir US |
|---|---|
| License Number | 99051509A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Westport |
| State | CT |