The holder whose full name is Duong, Tai Ngoc,come from Greentown IN,hold the Event Physician license(NO.EP10000003) which status is Expired.
| Name | Duong, Tai Ngoc |
|---|---|
| License Number | EP10000003 |
| License Type | Event Physician |
| License Status | Expired |
| City | Greentown |
| State | IN |