The holder whose full name is Chang, Li Fen Lien,come from Decatur GA,hold the Temporary MD Permit license(NO.99048261A) which status is Superceded.
| Name | Chang, Li Fen Lien |
|---|---|
| License Number | 99048261A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Decatur |
| State | GA |