The holder whose full name is Le, Chuc Phuc,come from Union KY,hold the Temporary MD Permit license(NO.99015793A) which status is Superceded.
| Name | Le, Chuc Phuc |
|---|---|
| License Number | 99015793A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Union |
| State | KY |