The holder whose full name is Maskiny, Charbel Farid,come from Granger IN,hold the Temporary MD Permit license(NO.99052644A) which status is Superceded.
Name | Maskiny, Charbel Farid |
---|---|
License Number | 99052644A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Granger |
State | IN |