The holder whose full name is Bahu, Amira,come from Gurnee IL,hold the Temporary MD Permit license(NO.99011641A) which status is Superceded.
| Name | Bahu, Amira |
|---|---|
| License Number | 99011641A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Gurnee |
| State | IL |