The holder whose full name is Barbosa, Fidel,come from Indianapolis IN,hold the Dental Intern Permit license(NO.42000047A) which status is Expired.
| Name | Barbosa, Fidel |
|---|---|
| License Number | 42000047A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |