The holder whose full name is Shapiro, William Herbert,come from Boynton Beach FL,hold the Temporary MD Permit license(NO.99026894A) which status is Superceded.
Name | Shapiro, William Herbert |
---|---|
License Number | 99026894A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Boynton Beach |
State | FL |