The holder whose full name is Jain, Vipin K.,come from Mount Vernon IL,hold the Temporary MD Permit license(NO.99019604A) which status is Superceded.
| Name | Jain, Vipin K. |
|---|---|
| License Number | 99019604A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Mount Vernon |
| State | IL |