The holder whose full name is Zakai, Michael David,come from Port Chester NY,hold the Temporary MD Permit license(NO.99016476A) which status is Superceded.
| Name | Zakai, Michael David |
|---|---|
| License Number | 99016476A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Port Chester |
| State | NY |