The holder whose full name is Conjalka, Michael S.,come from Rensselaer NY,hold the Temporary MD Permit license(NO.99007915A) which status is Superceded.
| Name | Conjalka, Michael S. |
|---|---|
| License Number | 99007915A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Rensselaer |
| State | NY |