The holder whose full name is Flisak, Michael Edward,come from Harvey IL,hold the Temporary MD Permit license(NO.99035553A) which status is Superceded.
| Name | Flisak, Michael Edward |
|---|---|
| License Number | 99035553A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Harvey |
| State | IL |