The holder whose full name is Primm, Kenneth Darrell,come from Downers Grove IL,hold the Temporary MD Permit license(NO.99015785A) which status is Superceded.
| Name | Primm, Kenneth Darrell |
|---|---|
| License Number | 99015785A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Downers Grove |
| State | IL |