The holder whose full name is Rao, Anita,come from Chesterton IN,hold the Temporary MD Permit license(NO.99049640A) which status is Superceded.
| Name | Rao, Anita |
|---|---|
| License Number | 99049640A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Chesterton |
| State | IN |