The holder whose full name is Glembocki, David J.,come from Scottsdale AZ,hold the Temporary MD Permit license(NO.99028744A) which status is Superceded.
Name | Glembocki, David J. |
---|---|
License Number | 99028744A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Scottsdale |
State | AZ |