The holder whose full name is Zhong, Wangjian,come from Prospect KY,hold the Temporary MD Permit license(NO.99028248A) which status is Superceded.
Name | Zhong, Wangjian |
---|---|
License Number | 99028248A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Prospect |
State | KY |