The holder whose full name is WAN, BANG,come from Amarillo TX,hold the Physician license(NO.01054661A) which status is Expired Non-Renewable.
| Name | WAN, BANG |
|---|---|
| License Number | 01054661A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Amarillo |
| State | TX |