The holder whose full name is Smolyar, Albert,come from Goshen KY,hold the Temporary MD Permit license(NO.99012412A) which status is Superceded.
| Name | Smolyar, Albert |
|---|---|
| License Number | 99012412A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Goshen |
| State | KY |