The holder whose full name is KU, HUNG-SHIH HENRY,come from La Porte IN,hold the CSR-Physician license(NO.01029871B) which status is Expired.
| Name | KU, HUNG-SHIH HENRY |
|---|---|
| License Number | 01029871B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | La Porte |
| State | IN |