The holder whose full name is Sato, Takuya,come from Louisville KY,hold the Medical Fellowship Permit license(NO.73000104A) which status is Active.
| Name | Sato, Takuya |
|---|---|
| License Number | 73000104A |
| License Type | Medical Fellowship Permit |
| License Status | Active |
| City | Louisville |
| State | KY |