The holder whose full name is Staros, Eric B.,come from Barrington IL,hold the Temporary MD Permit license(NO.99000140A) which status is Superceded.
| Name | Staros, Eric B. |
|---|---|
| License Number | 99000140A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Barrington |
| State | IL |