The holder whose full name is DO, CHANH QUANG,come from La Grange IL,hold the Osteopathic Physician license(NO.02002354A) which status is Expired Non-Renewable.
| Name | DO, CHANH QUANG |
|---|---|
| License Number | 02002354A |
| License Type | Osteopathic Physician |
| License Status | Expired Non-Renewable |
| City | La Grange |
| State | IL |