The holder whose full name is SLAVIN, KONSTANTIN VLADIMIROVICH,come from Oak Park IL,hold the Temporary MD Permit license(NO.99003269A) which status is Superceded.
| Name | SLAVIN, KONSTANTIN VLADIMIROVICH |
|---|---|
| License Number | 99003269A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Oak Park |
| State | IL |