The holder whose full name is Li, Allen Qingjun,come from Sylvania OH,hold the Medical Residency Permit license(NO.11009777A) which status is Superceded.
| Name | Li, Allen Qingjun |
|---|---|
| License Number | 11009777A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Sylvania |
| State | OH |