The holder whose full name is Lerrick, Kenneth Scott,come from Chappaqua NY,hold the Temporary MD Permit license(NO.99027101A) which status is Superceded.
| Name | Lerrick, Kenneth Scott |
|---|---|
| License Number | 99027101A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Chappaqua |
| State | NY |