The holder whose full name is Dajani, Khaled A,come from Peoria IL,hold the Temporary MD Permit license(NO.99020246A) which status is Superceded.
Name | Dajani, Khaled A |
---|---|
License Number | 99020246A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Peoria |
State | IL |