The holder whose full name is Poulos, Christopher Kreag,come from Phoenix AZ,hold the Medical Residency Permit license(NO.11010461A) which status is Superceded.
| Name | Poulos, Christopher Kreag |
|---|---|
| License Number | 11010461A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Phoenix |
| State | AZ |