The holder whose full name is OZOLEK, JOHN ANTHONY,come from Fairview PA,hold the Temporary MD Permit license(NO.99002202A) which status is Superceded.
Name | OZOLEK, JOHN ANTHONY |
---|---|
License Number | 99002202A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Fairview |
State | PA |