The holder whose full name is Basu, Auveek Pat,come from Chicago IL,hold the Temporary MD Permit license(NO.99047202A) which status is Superceded.
Name | Basu, Auveek Pat |
---|---|
License Number | 99047202A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Chicago |
State | IL |