The holder whose full name is Avancha, Amarnath,come from Passaic NJ,hold the Temporary MD Permit license(NO.99042687A) which status is Superceded.
| Name | Avancha, Amarnath |
|---|---|
| License Number | 99042687A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Passaic |
| State | NJ |