The holder whose full name is Chandrashekar, Lingaiah,come from Bloomington IN,hold the Temporary MD Permit license(NO.99008829A) which status is Superceded.
| Name | Chandrashekar, Lingaiah |
|---|---|
| License Number | 99008829A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Bloomington |
| State | IN |