The holder whose full name is LEE, DAVID J,come from Columbus IN,hold the Medical Residency Permit license(NO.11007843A) which status is Expired.
| Name | LEE, DAVID J |
|---|---|
| License Number | 11007843A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Columbus |
| State | IN |