The holder whose full name is Shah, Vipul B.,come from Perrysburg OH,hold the Temporary MD Permit license(NO.99052130A) which status is Superceded.
| Name | Shah, Vipul B. |
|---|---|
| License Number | 99052130A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Perrysburg |
| State | OH |