The holder whose full name is He, Chaoying,come from Fort Wayne IN,hold the CSR-Physician license(NO.01061754B) which status is Expired.
| Name | He, Chaoying |
|---|---|
| License Number | 01061754B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |