The holder whose full name is O'Dorisio, James Edward,come from Tiburon CA,hold the Temporary MD Permit license(NO.99014329A) which status is Superceded.
| Name | O'Dorisio, James Edward |
|---|---|
| License Number | 99014329A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Tiburon |
| State | CA |