The holder whose full name is Nwakanma, Chuck Godwin,come from Fort Wayne IN,hold the Temporary MD Permit license(NO.99039411A) which status is Superceded.
Name | Nwakanma, Chuck Godwin |
---|---|
License Number | 99039411A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Fort Wayne |
State | IN |