The holder whose full name is Safran, David,come from Long Beach NY,hold the Temporary MD Permit license(NO.99056960A) which status is Superceded.
| Name | Safran, David |
|---|---|
| License Number | 99056960A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Long Beach |
| State | NY |