The holder whose full name is Huang, Chung Wen,come from Chantilly VA,hold the Physician license(NO.01032906A) which status is Inactive/Expired.
Name | Huang, Chung Wen |
---|---|
License Number | 01032906A |
License Type | Physician |
License Status | Inactive/Expired |
City | Chantilly |
State | VA |