The holder whose full name is Massarat, Parviz,come from Dallas TX,hold the Temporary MD Permit license(NO.99005408A) which status is Superceded.
| Name | Massarat, Parviz |
|---|---|
| License Number | 99005408A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Dallas |
| State | TX |