The holder whose full name is Papadatos, Anthony D.,come from Chicago IL,hold the Temporary MD Permit license(NO.99013527A) which status is Superceded.
| Name | Papadatos, Anthony D. |
|---|---|
| License Number | 99013527A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Chicago |
| State | IL |