The holder whose full name is Puppala, Vinaya Krishna,come from Barrington IL,hold the Temporary MD Permit license(NO.99059009A) which status is Superceded.
| Name | Puppala, Vinaya Krishna |
|---|---|
| License Number | 99059009A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Barrington |
| State | IL |