The holder whose full name is Fulkerson, Bradley Todd,come from Henderson KY,hold the Dental Intern Permit license(NO.42000082A) which status is Expired.
| Name | Fulkerson, Bradley Todd |
|---|---|
| License Number | 42000082A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | Henderson |
| State | KY |