The holder whose full name is Al Fadhl, Dahan Hussein,come from Granger IN,hold the Temporary MD Permit license(NO.99000656A) which status is Superceded.
| Name | Al Fadhl, Dahan Hussein |
|---|---|
| License Number | 99000656A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Granger |
| State | IN |