The holder whose full name is Zhou, Fan,come from Pocatello ID,hold the Physician license(NO.01049627A) which status is Expired Non-Renewable.
| Name | Zhou, Fan |
|---|---|
| License Number | 01049627A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Pocatello |
| State | ID |