The holder whose full name is PEREZ VARGAS, EFRAIN,come from Lafayette IN,hold the Temporary MD Permit license(NO.99001766A) which status is Expired.
| Name | PEREZ VARGAS, EFRAIN |
|---|---|
| License Number | 99001766A |
| License Type | Temporary MD Permit |
| License Status | Expired |
| City | Lafayette |
| State | IN |