The holder whose full name is Cha, Daniel Taejune,come from Valparaiso IN,hold the Temporary MD Permit license(NO.99040940A) which status is Superceded.
Name | Cha, Daniel Taejune |
---|---|
License Number | 99040940A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Valparaiso |
State | IN |