The holder whose full name is Scibilia, Lawrence Peter,come from Chicago IL,hold the Temporary MD Permit license(NO.99007148A) which status is Superceded.
| Name | Scibilia, Lawrence Peter |
|---|---|
| License Number | 99007148A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Chicago |
| State | IL |