The holder whose full name is LAI, MING TAO,come from PALM BAY FL,hold the Physician license(NO.01040431A) which status is Expired Non-Renewable.
Name | LAI, MING TAO |
---|---|
License Number | 01040431A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | PALM BAY |
State | FL |