The holder whose full name is Ghalambor, Omid,come from Effingham IL,hold the Temporary MD Permit license(NO.99059370A) which status is Superceded.
| Name | Ghalambor, Omid |
|---|---|
| License Number | 99059370A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Effingham |
| State | IL |