The holder whose full name is ANGSTMANN, ANGELA DAWN,come from Chicago IL,hold the Temporary MD Permit license(NO.99004825A) which status is Superceded.
Name | ANGSTMANN, ANGELA DAWN |
---|---|
License Number | 99004825A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Chicago |
State | IL |