The holder whose full name is Sandouk, Adel G.,come from Glendora CA,hold the Temporary MD Permit license(NO.99000264A) which status is Superceded.
| Name | Sandouk, Adel G. |
|---|---|
| License Number | 99000264A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Glendora |
| State | CA |