The holder whose full name is Morales, Mauricio,come from Mokena IL,hold the Temporary MD Permit license(NO.99029891A) which status is Superceded.
| Name | Morales, Mauricio |
|---|---|
| License Number | 99029891A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Mokena |
| State | IL |