The holder whose full name is Pan, Vivian,come from Chicago IL,hold the Temp Genetic Counselor Permit license(NO.99051784A) which status is Expired.
| Name | Pan, Vivian |
|---|---|
| License Number | 99051784A |
| License Type | Temp Genetic Counselor Permit |
| License Status | Expired |
| City | Chicago |
| State | IL |