The holder whose full name is Ferguson, Lisa Chia-Ling Wang,come from Terre Haute IN,hold the Temporary MD Permit license(NO.99005051A) which status is Superceded.
Name | Ferguson, Lisa Chia-Ling Wang |
---|---|
License Number | 99005051A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Terre Haute |
State | IN |