The holder whose full name is CHAN, JOHN TAK TAI,come from PERU IN,hold the Physician license(NO.01021283A) which status is Expired Non-Renewable.
| Name | CHAN, JOHN TAK TAI |
|---|---|
| License Number | 01021283A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PERU |
| State | IN |