The holder whose full name is Zhong, Wangjian,come from Prospect KY,hold the Medical Residency Permit license(NO.11011458A) which status is Superceded.
Name | Zhong, Wangjian |
---|---|
License Number | 11011458A |
License Type | Medical Residency Permit |
License Status | Superceded |
City | Prospect |
State | KY |