The holder whose full name is Rich, Candace Jane,come from Warsaw IN,hold the Dental Intern Permit license(NO.42000074A) which status is Expired.
| Name | Rich, Candace Jane |
|---|---|
| License Number | 42000074A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | Warsaw |
| State | IN |