The holder whose full name is LY, THANG M,come from Indianapolis IN,hold the Dental Intern Permit license(NO.42000262A) which status is Expired.
| Name | LY, THANG M |
|---|---|
| License Number | 42000262A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |