The holder whose full name is Liou, Wayne Wei-Teh,come from Eden Prairie MN,hold the Temporary MD Permit license(NO.99019498A) which status is Superceded.
Name | Liou, Wayne Wei-Teh |
---|---|
License Number | 99019498A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Eden Prairie |
State | MN |