The holder whose full name is Adie, Bassem,come from Richmond KY,hold the Temporary MD Permit license(NO.99061887A) which status is Superceded.
| Name | Adie, Bassem |
|---|---|
| License Number | 99061887A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Richmond |
| State | KY |