The holder whose full name is TRIVEDI, GEETA R,come from Medford MA,hold the Temporary MD Permit license(NO.99006856A) which status is Superceded.
| Name | TRIVEDI, GEETA R |
|---|---|
| License Number | 99006856A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Medford |
| State | MA |