The holder whose full name is Slyby, David George,come from Fort Wayne IN,hold the Dental Intern Permit license(NO.42000147A) which status is Expired.
| Name | Slyby, David George |
|---|---|
| License Number | 42000147A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |