The holder whose full name is Wu, Jeffrey Kai,come from Fishers IN,hold the Temporary MD Permit license(NO.99046669A) which status is Superceded.
| Name | Wu, Jeffrey Kai |
|---|---|
| License Number | 99046669A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Fishers |
| State | IN |