The holder whose full name is Hussein, Basem Moustafa,come from Pittsburgh PA,hold the Temporary MD Permit license(NO.99004745A) which status is Superceded.
| Name | Hussein, Basem Moustafa |
|---|---|
| License Number | 99004745A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Pittsburgh |
| State | PA |