The holder whose full name is Morassutti, Dante J.,come from ,hold the Temporary MD Permit license(NO.99000139A) which status is Superceded.
| Name | Morassutti, Dante J. |
|---|---|
| License Number | 99000139A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | |
| State |