The holder whose full name is Tartt, Derrick Barron,come from Chicago IL,hold the Temporary MD Permit license(NO.99018011A) which status is Superceded.
| Name | Tartt, Derrick Barron |
|---|---|
| License Number | 99018011A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Chicago |
| State | IL |