The holder whose full name is LEE, DANG T,come from CROWN POINT IN,hold the Physician license(NO.01026138A) which status is Expired Non-Renewable.
| Name | LEE, DANG T |
|---|---|
| License Number | 01026138A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CROWN POINT |
| State | IN |