The holder whose full name is Shihadeh, Amjad,come from Valparaiso IN,hold the Temporary MD Permit license(NO.99041331A) which status is Superceded.
| Name | Shihadeh, Amjad |
|---|---|
| License Number | 99041331A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Valparaiso |
| State | IN |