The holder whose full name is Becker, Eli J.,come from Webster NY,hold the Temporary MD Permit license(NO.99013260A) which status is Superceded.
| Name | Becker, Eli J. |
|---|---|
| License Number | 99013260A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Webster |
| State | NY |