The holder whose full name is Khraisat, Ahmad S.,come from Chicago IL,hold the Temporary MD Permit license(NO.99008280A) which status is Superceded.
| Name | Khraisat, Ahmad S. |
|---|---|
| License Number | 99008280A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Chicago |
| State | IL |