The holder whose full name is Benavides, Angela,come from Ottawa IL,hold the Temporary MD Permit license(NO.99017570A) which status is Superceded.
| Name | Benavides, Angela |
|---|---|
| License Number | 99017570A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Ottawa |
| State | IL |