The holder whose full name is Xu, Mina LuQing,come from New Haven CT,hold the Physician license(NO.01067356A) which status is Expired Non-Renewable.
Name | Xu, Mina LuQing |
---|---|
License Number | 01067356A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | New Haven |
State | CT |