The holder whose full name is KIM, TAEIN,come from INDIANAPOLIS IN,hold the Dental Intern Permit license(NO.42000053A) which status is Expired.
| Name | KIM, TAEIN |
|---|---|
| License Number | 42000053A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |