The holder whose full name is Chong, Lanceford Mark,come from Northampton MA,hold the Physician license(NO.01063935A) which status is Expired Non-Renewable.
| Name | Chong, Lanceford Mark |
|---|---|
| License Number | 01063935A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Northampton |
| State | MA |