The holder whose full name is Sorkin, Anthony T.,come from Indianapolis IN,hold the Temporary MD Permit license(NO.99055070A) which status is Superceded.
| Name | Sorkin, Anthony T. |
|---|---|
| License Number | 99055070A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |