The holder whose full name is Klem, Kenneth Joseph,come from Lynden WA,hold the Medical Residency Permit license(NO.11007750A) which status is Superceded.
| Name | Klem, Kenneth Joseph |
|---|---|
| License Number | 11007750A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Lynden |
| State | WA |