The holder whose full name is Ladi, Larry,come from Philadelphia PA,hold the Temporary MD Permit license(NO.99041487A) which status is Superceded.
| Name | Ladi, Larry |
|---|---|
| License Number | 99041487A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Philadelphia |
| State | PA |