The holder whose full name is Lai, Khoa Duc,come from Lafayette IN,hold the CSR-Physician license(NO.01044085B) which status is Active.
| Name | Lai, Khoa Duc |
|---|---|
| License Number | 01044085B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Lafayette |
| State | IN |