The holder whose full name is KU, MARSHALL JU CHUAN,come from VALPARAISO IN,hold the Physician license(NO.01022513A) which status is Expired Non-Renewable.
Name | KU, MARSHALL JU CHUAN |
---|---|
License Number | 01022513A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | VALPARAISO |
State | IN |