The holder whose full name is Chung, Andrew Il Sung,come from ANDERSON IN,hold the CSR-Physician license(NO.01026004B) which status is Expired.
| Name | Chung, Andrew Il Sung |
|---|---|
| License Number | 01026004B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | ANDERSON |
| State | IN |