The holder whose full name is Barakat, Omar Jason,come from Saint Louis MO,hold the Temporary MD Permit license(NO.99063932A) which status is Superceded.
| Name | Barakat, Omar Jason |
|---|---|
| License Number | 99063932A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Saint Louis |
| State | MO |