The holder whose full name is Krasny, Alex J.,come from Deerfield IL,hold the Temporary MD Permit license(NO.99056297A) which status is Superceded.
Name | Krasny, Alex J. |
---|---|
License Number | 99056297A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Deerfield |
State | IL |