The holder whose full name is YOON, CHANG SUP,come from WICHITA KS,hold the Physician license(NO.01029323A) which status is Expired Non-Renewable.
Name | YOON, CHANG SUP |
---|---|
License Number | 01029323A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | WICHITA |
State | KS |