The holder whose full name is Janka, Jacqueline J,come from La Salle IL,hold the Temporary MD Permit license(NO.99054386A) which status is Superceded.
Name | Janka, Jacqueline J |
---|---|
License Number | 99054386A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | La Salle |
State | IL |