The holder whose full name is Ambrad, Antonio Jose,come from Pittsburgh PA,hold the Temporary MD Permit license(NO.99034750A) which status is Superceded.
| Name | Ambrad, Antonio Jose |
|---|---|
| License Number | 99034750A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Pittsburgh |
| State | PA |