The holder whose full name is Jawalekar, Kshama S.,come from Decatur GA,hold the Temporary MD Permit license(NO.99021830A) which status is Superceded.
Name | Jawalekar, Kshama S. |
---|---|
License Number | 99021830A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Decatur |
State | GA |