The holder whose full name is CONGTANG, PHUNGMAI T,come from LAS VEGAS NE,hold the Physician license(NO.01032087A) which status is Expired Non-Renewable.
| Name | CONGTANG, PHUNGMAI T |
|---|---|
| License Number | 01032087A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LAS VEGAS |
| State | NE |