The holder whose full name is CHEN, DAXIN,come from Buffalo NY,hold the Physician license(NO.01054440A) which status is Expired Non-Renewable.
| Name | CHEN, DAXIN |
|---|---|
| License Number | 01054440A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Buffalo |
| State | NY |