The holder whose full name is Chinthagada, Dinesh,come from Mokena IL,hold the Temporary MD Permit license(NO.99037968A) which status is Superceded.
Name | Chinthagada, Dinesh |
---|---|
License Number | 99037968A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Mokena |
State | IL |