The holder whose full name is Gupta, Atefeh,come from Prospect KY,hold the Temporary MD Permit license(NO.99005848A) which status is Superceded.
Name | Gupta, Atefeh |
---|---|
License Number | 99005848A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Prospect |
State | KY |