The holder whose full name is Gormley, Anne Valentine,come from Wadsworth OH,hold the Dental Intern Permit license(NO.42000364A) which status is Superceded.
| Name | Gormley, Anne Valentine |
|---|---|
| License Number | 42000364A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Wadsworth |
| State | OH |