The holder whose full name is BLOSHINSKY, MARVIN BRUCE,come from Boca Raton FL,hold the Temporary MD Permit license(NO.99000903A) which status is Superceded.
| Name | BLOSHINSKY, MARVIN BRUCE |
|---|---|
| License Number | 99000903A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Boca Raton |
| State | FL |