The holder whose full name is DaSilva, Leonard Dimitri,come from Tallahassee FL,hold the Temporary MD Permit license(NO.99053880A) which status is Superceded.
| Name | DaSilva, Leonard Dimitri |
|---|---|
| License Number | 99053880A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Tallahassee |
| State | FL |