The holder whose full name is UR, DANIEL,come from LINCOLNWOOD IL,hold the Temporary MD Permit license(NO.99005105A) which status is Expired.
| Name | UR, DANIEL |
|---|---|
| License Number | 99005105A |
| License Type | Temporary MD Permit |
| License Status | Expired |
| City | LINCOLNWOOD |
| State | IL |