The holder whose full name is Mohr, Beth Park,come from West Lafayette IN,hold the Dental Intern Permit license(NO.42000149A) which status is Expired.
| Name | Mohr, Beth Park |
|---|---|
| License Number | 42000149A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | West Lafayette |
| State | IN |