The holder whose full name is Wable, Sumathi,come from New Haven CT,hold the Temporary MD Permit license(NO.99061181A) which status is Superceded.
| Name | Wable, Sumathi |
|---|---|
| License Number | 99061181A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | New Haven |
| State | CT |