The holder whose full name is Lum, Wen Sun,come from South Bend IN,hold the CSR-Physician license(NO.01068990B) which status is Active.
| Name | Lum, Wen Sun |
|---|---|
| License Number | 01068990B |
| License Type | CSR-Physician |
| License Status | Active |
| City | South Bend |
| State | IN |