The holder whose full name is LEE, DONG JIN,come from HIGHLAND IN,hold the CSR-Physician license(NO.01033988B) which status is Expired.
| Name | LEE, DONG JIN |
|---|---|
| License Number | 01033988B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | HIGHLAND |
| State | IN |