The holder whose full name is Montanez, Frankie,come from Valparaiso IN,hold the Dental Intern Permit license(NO.42000303A) which status is Superceded.
Name | Montanez, Frankie |
---|---|
License Number | 42000303A |
License Type | Dental Intern Permit |
License Status | Superceded |
City | Valparaiso |
State | IN |