The holder whose full name is Dejenie, Freaw Nigussie,come from Arlington VA,hold the Temporary MD Permit license(NO.99057856A) which status is Superceded.
Name | Dejenie, Freaw Nigussie |
---|---|
License Number | 99057856A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Arlington |
State | VA |