The holder whose full name is BARTOLOVIC, DAVID JOHN,come from Speedway IN,hold the Dental Intern Permit license(NO.42000205A) which status is Expired.
Name | BARTOLOVIC, DAVID JOHN |
---|---|
License Number | 42000205A |
License Type | Dental Intern Permit |
License Status | Expired |
City | Speedway |
State | IN |