The holder whose full name is Abbas, Dilawer H.,come from Fort Wayne IN,hold the Temporary MD Permit license(NO.99053725A) which status is Superceded.
| Name | Abbas, Dilawer H. |
|---|---|
| License Number | 99053725A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |