The holder whose full name is Godwin, Blessing Otoabasi,come from Lawrenceville NJ,hold the Temporary MD Permit license(NO.99026475A) which status is Superceded.
Name | Godwin, Blessing Otoabasi |
---|---|
License Number | 99026475A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Lawrenceville |
State | NJ |