The holder whose full name is Gendels, Geoffrey Alan,come from Chicago IL,hold the Temporary MD Permit license(NO.99001071A) which status is Superceded.
| Name | Gendels, Geoffrey Alan |
|---|---|
| License Number | 99001071A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Chicago |
| State | IL |