The holder whose full name is PENG, LEE LI,come from Carmel IN,hold the Physician license(NO.01051102A) which status is Expired Non-Renewable.
Name | PENG, LEE LI |
---|---|
License Number | 01051102A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Carmel |
State | IN |