The holder whose full name is Leddy, Beverly Jean,come from Carmel IN,hold the Dental Intern Permit license(NO.42000004A) which status is Expired.
| Name | Leddy, Beverly Jean |
|---|---|
| License Number | 42000004A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | Carmel |
| State | IN |