The holder whose full name is Fan, Joseph T,come from Fountain Valley CA,hold the Physician license(NO.01050489A) which status is Expired Non-Renewable.
| Name | Fan, Joseph T |
|---|---|
| License Number | 01050489A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Fountain Valley |
| State | CA |