The holder whose full name is LeBlanc, Julia Kim,come from Barrington IL,hold the Temporary MD Permit license(NO.99004576A) which status is Superceded.
Name | LeBlanc, Julia Kim |
---|---|
License Number | 99004576A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Barrington |
State | IL |