The holder whose full name is Patterson, Lee V,come from Matteson IL,hold the Temporary MD Permit license(NO.99029195A) which status is Superceded.
| Name | Patterson, Lee V |
|---|---|
| License Number | 99029195A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Matteson |
| State | IL |