The holder whose full name is Ghoniem, Ayman A.,come from Woodland Park NJ,hold the Temporary MD Permit license(NO.99005612A) which status is Superceded.
Name | Ghoniem, Ayman A. |
---|---|
License Number | 99005612A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Woodland Park |
State | NJ |