The holder whose full name is ZHANG, SHAN,come from West Bountiful UT,hold the Physician license(NO.01056027A) which status is Expired Non-Renewable.
| Name | ZHANG, SHAN |
|---|---|
| License Number | 01056027A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | West Bountiful |
| State | UT |