The holder whose full name is Lu, Phong Quang,come from Wakarusa IN,hold the Provisional Manicurist license(NO.MAP1200002) which status is Superceded.
| Name | Lu, Phong Quang |
|---|---|
| License Number | MAP1200002 |
| License Type | Provisional Manicurist |
| License Status | Superceded |
| City | Wakarusa |
| State | IN |