The holder whose full name is Herskovic, Arnold Manfred,come from Chicago IL,hold the Temporary MD Permit license(NO.99051359A) which status is Superceded.
| Name | Herskovic, Arnold Manfred |
|---|---|
| License Number | 99051359A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Chicago |
| State | IL |