The holder whose full name is Roitman, Jose,come from Highland Park IL,hold the Temporary MD Permit license(NO.99012910A) which status is Superceded.
| Name | Roitman, Jose |
|---|---|
| License Number | 99012910A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Highland Park |
| State | IL |