The holder whose full name is Kum, Jennifer Bup-Jong,come from Indianapolis IN,hold the Physician license(NO.01067912A) which status is Expired.
| Name | Kum, Jennifer Bup-Jong |
|---|---|
| License Number | 01067912A |
| License Type | Physician |
| License Status | Expired |
| City | Indianapolis |
| State | IN |