The holder whose full name is KIM, HONG JIK,come from Munster IN,hold the CSR-Physician license(NO.01051383B) which status is Expired.
| Name | KIM, HONG JIK |
|---|---|
| License Number | 01051383B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | Munster |
| State | IN |