The holder whose full name is Deng, Quanmei,come from Crown Point IN,hold the Temporary MD Permit license(NO.99006284A) which status is Superceded.
Name | Deng, Quanmei |
---|---|
License Number | 99006284A |
License Type | Temporary MD Permit |
License Status | Superceded |
City | Crown Point |
State | IN |