The holder whose full name is Malek, Michel Hanna,come from Kankakee IL,hold the Temporary MD Permit license(NO.99040273A) which status is Superceded.
Name | Malek, Michel Hanna |
---|---|
License Number | 99040273A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Kankakee |
State | IL |