The holder whose full name is Tien, Huey Yuan,come from New Albany IN,hold the Medical Residency Permit license(NO.11008662A) which status is Superceded.
| Name | Tien, Huey Yuan |
|---|---|
| License Number | 11008662A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | New Albany |
| State | IN |