The holder whose full name is PARK, KAMI LEE,come from Oxford OH,hold the Temporary MD Permit license(NO.99000517A) which status is Superceded.
| Name | PARK, KAMI LEE |
|---|---|
| License Number | 99000517A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Oxford |
| State | OH |