The holder whose full name is LO GIUDICE, BENJAMIN ANTHONY,come from INDIANAPOLIS IN,hold the Dental Intern Permit license(NO.42000133A) which status is Expired.
Name | LO GIUDICE, BENJAMIN ANTHONY |
---|---|
License Number | 42000133A |
License Type | Dental Intern Permit |
License Status | Expired |
City | INDIANAPOLIS |
State | IN |