The holder whose full name is Levy, Michael,come from Long Island City NY,hold the Temporary MD Permit license(NO.99006300A) which status is Superceded.
| Name | Levy, Michael |
|---|---|
| License Number | 99006300A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Long Island City |
| State | NY |