The holder whose full name is Paez De Mendoza, Carmen Yamily,come from Westfield IN,hold the Dental Intern Permit license(NO.42000187A) which status is Superceded.
| Name | Paez De Mendoza, Carmen Yamily |
|---|---|
| License Number | 42000187A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Westfield |
| State | IN |