The holder whose full name is BUTTERBACH, DANIEL RICHARD,come from Chicago IL,hold the Temporary MD Permit license(NO.99000672A) which status is Superceded.
| Name | BUTTERBACH, DANIEL RICHARD |
|---|---|
| License Number | 99000672A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Chicago |
| State | IL |