The holder whose full name is Smith, Tracey Lynn,come from Manchester MI,hold the Dental Intern Permit license(NO.42000225A) which status is Superceded.
| Name | Smith, Tracey Lynn |
|---|---|
| License Number | 42000225A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Manchester |
| State | MI |