The holder whose full name is Kokanovic, Obrad,come from Lafayette IN,hold the Temporary MD Permit license(NO.99061175A) which status is Superceded.
| Name | Kokanovic, Obrad |
|---|---|
| License Number | 99061175A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Lafayette |
| State | IN |