The holder whose full name is Occhipinti, Kathryn Ann,come from Peoria IL,hold the Temporary MD Permit license(NO.99041537A) which status is Superceded.
| Name | Occhipinti, Kathryn Ann |
|---|---|
| License Number | 99041537A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Peoria |
| State | IL |