The holder whose full name is Kang, Chang Woon,come from HARTFORD CITY IN,hold the CSR-Physician license(NO.01049410B) which status is Expired.
| Name | Kang, Chang Woon |
|---|---|
| License Number | 01049410B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | HARTFORD CITY |
| State | IN |