The holder whose full name is Shah, Bobby A.,come from Lake Havasu City AZ,hold the Temporary MD Permit license(NO.99005220A) which status is Superceded.
| Name | Shah, Bobby A. |
|---|---|
| License Number | 99005220A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Lake Havasu City |
| State | AZ |