The holder whose full name is Lespinasse, Samuel,come from Gurnee IL,hold the Temporary MD Permit license(NO.99008984A) which status is Superceded.
Name | Lespinasse, Samuel |
---|---|
License Number | 99008984A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Gurnee |
State | IL |