The holder whose full name is Han, Nancy Chi,come from Valparaiso IN,hold the Temporary MD Permit license(NO.99040296A) which status is Superceded.
| Name | Han, Nancy Chi |
|---|---|
| License Number | 99040296A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Valparaiso |
| State | IN |