The holder whose full name is Radzienda, Michael L.,come from Chicago IL,hold the Temporary MD Permit license(NO.99015272A) which status is Superceded.
| Name | Radzienda, Michael L. |
|---|---|
| License Number | 99015272A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Chicago |
| State | IL |